Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 07-01-2013 , 2013, and ending 06-30-2014
BCheck if applicable:
CName of organization
TRINITY HEALTH CORPORATION
 
Doing Business As
TRINITY HEALTH
HOLY CROSS SHARED SERVICES
Number and street (or P.O. box if mail is not delivered to street address)
20555 VICTOR PARKWAY
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LIVONIA, MI481527018
D Employer identification number

35-1443425
E Telephone number

G Gross receipts $ 1,062,087,013
F Name and address of principal officer:
RICHARD GILFILLAN MD
20555 VICTOR PARKWAY
LIVONIA,MI481527018
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.TRINITY-HEALTH.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1978
M State of legal domicile: IN
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 13
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 3,746
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 574,490
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -30,571
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 761,092,281 833,966,374
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 172,598,551 177,476,143
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 55,452,558 49,730,867
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 989,143,390 1,061,173,384
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 874,513 995,175
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 386,813,967 390,782,925
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 570,478,353 697,857,724
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 958,166,833 1,089,635,824
19 Revenue less expenses. Subtract line 18 from line 12....... 30,976,557 -28,462,440
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 5,116,721,085 6,825,272,667
21 Total liabilities (Part X, line 26)............. 5,213,134,878 6,818,481,601
22 Net assets or fund balances. Subtract line 21 from line 20..... -96,413,793 6,791,066
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: WE, TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,056,629,273 including grants of $ 995,175 ) (Revenue $ 883,122,751 )
TRINITY HEALTH CORPORATION'S PURPOSE IS TO GOVERN, MANAGE AND PROVIDE ADMINISTRATIVE SERVICES TO ITS FIRST TIER SUBSIDIARIES. THESE FIRST TIER SUBSIDIARIES ARE HOSPITAL ORGANIZATIONS EXEMPT UNDER SECTION 501(C)(3) AND PROVIDE NEEDED HEALTHCARE SERVICES TO THE COMMUNITIES IN WHICH THEY ARE LOCATED. THE SERVICES PROVIDED BY TRINITY HEALTH CORPORATION ALLOW FOR ECONOMIES OF SCALE THAT IN TURN PERMIT THE SUBSIDIARIES TO PROVIDE HEALTHCARE SERVICES TO PATIENTS AT A REASONABLE COST.TRINITY HEALTH CORPORATION AND ITS SUBSIDIARIES, AND CATHOLIC HEALTH EAST AND ITS SUBSIDIARIES ARE COLLECTIVELY KNOWN AS TRINITY HEALTH. TRINITY HEALTH WAS CREATED BY THE CONSOLIDATION OF TWO CATHOLIC HEALTHCARE SYSTEMS, HOLY CROSS HEALTH SYSTEM AND MERCY HEALTH SERVICES, ON MAY 1, 2000. ON MAY 1, 2013, TRINITY HEALTH WAS JOINED BY CATHOLIC HEALTH EAST TO FORM THE SYSTEM FIRST KNOWN AS CHE TRINITY. (TRINITY HEALTH AND CATHOLIC HEALTH EAST CONTINUED AS SEPARATE LEGAL ENTITIES THROUGH JUNE 30, 2014. ON JULY 1, 2014 THEY MERGED INTO ONE LEGAL ENTITY, NOW KNOWN AS TRINITY HEALTH.) COMMUNITY BENEFIT MINISTRYCONSISTENT WITH ITS MISSION, THE HOSPITALS THAT ARE SUBSIDIARIES OF TRINITY HEALTH PROVIDE MEDICAL CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION, THESE HOSPITALS PROVIDE SERVICES INTENDED TO BENEFIT THE POOR AND UNDERSERVED, INCLUDING THOSE PERSONS WHO CANNOT AFFORD HEALTH INSURANCE OR OTHER PAYMENTS SUCH AS COPAYS AND DEDUCTIBLES BECAUSE OF INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH THEY OPERATE.THE FOLLOWING SUMMARY HAS BEEN PREPARED IN ACCORDANCE WITH THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES ("CHA"), A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT, 2013 EDITION. THE AMOUNTS BELOW REFLECT THE QUANTIFIABLE COSTS OF TRINITY HEALTH'S COMMUNITY BENEFIT MINISTRY FOR THE YEAR ENDED JUNE 30, 2014 (IN THOUSANDS):MINISTRY FOR THE POOR AND UNDERSERVED:CHARITY CARE AT COST 180,273UNPAID COST OF MEDICAID AND OTHER PUBLIC PROGRAMS 219,312PROGRAMS FOR THE POOR AND THE UNDERSERVED: COMMUNITY HEALTH SERVICES 16,983 SUBSIDIZED HEALTH SERVICES 39,071 FINANCIAL CONTRIBUTIONS 5,002 COMMUNITY BUILDING ACTIVITIES 1,156 COMMUNITY BENEFIT OPERATIONS 2,309 TOTAL PROGRAMS FOR THE POOR AND UNDERSERVED 64,521MINISTRY FOR THE POOR AND UNDERSERVED 464,106MINISTRY FOR THE BROADER COMMUNITY: COMMUNITY HEALTH SERVICES 6,973 HEALTH PROFESSIONS EDUCATION 88,029 SUBSIDIZED HEALTH SERVICES 20,803 RESEARCH 4,385 FINANCIAL CONTRIBUTIONS 26,504 COMMUNITY BUILDING ACTIVITIES 1,517 COMMUNITY BENEFIT OPERATIONS 1,628MINISTRY FOR THE BROADER COMMUNITY 149,839COMMUNITY BENEFIT MINISTRY 613,945MINISTRY FOR THE POOR AND UNDERSERVED REPRESENTS THE FINANCIAL COMMITMENT TO SEEK OUT AND SERVE THOSE WHO NEED HELP THE MOST, ESPECIALLY THE POOR, THE UNINSURED AND THE INDIGENT. THIS IS DONE WITH THE CONVICTION THAT HEALTHCARE IS A BASIC HUMAN RIGHT. MINISTRY FOR THE BROADER COMMUNITY REPRESENTS THE COST OF SERVICES PROVIDED FOR THE GENERAL BENEFIT OF THE COMMUNITIES IN WHICH TRINITY HEALTH HOSPITALS OPERATE. MANY PROGRAMS ARE TARGETED TOWARD POPULATIONS THAT MAY BE POOR, BUT ALSO INCLUDE THOSE AREAS THAT MAY NEED SPECIAL HEALTH SERVICES AND SUPPORT. THESE PROGRAMS ARE NOT INTENDED TO BE FINANCIALLY SELF-SUPPORTING.CHARITY CARE AT COST REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO CANNOT AFFORD HEALTH CARE SERVICES DUE TO INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF TRINITY HEALTH HOSPITALS. THE COST OF CHARITY CARE IS CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY.UNPAID COST OF MEDICAID AND OTHER PUBLIC PROGRAMS REPRESENTS THE COST (DETERMINED USING A COST-TO-CHARGE RATIO) OF PROVIDING SERVICES TO BENEFICIARIES OF PUBLIC PROGRAMS, INCLUDING STATE MEDICAID AND INDIGENT CARE PROGRAMS, IN EXCESS OF GOVERNMENTAL AND MANAGED CARE CONTRACT PAYMENTS.COMMUNITY HEALTH SERVICES ARE ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE SUPPORTED BY OUTSIDE GRANTS OR FUNDING. SOME EXAMPLES INCLUDE COMMUNITY HEALTH EDUCATION, FREE IMMUNIZATION SERVICES, FREE OR LOW COST PRESCRIPTION MEDICATIONS, AND RURAL AND URBAN OUTREACH PROGRAMS. TRINITY HEALTH HOSPITALS ACTIVELY COLLABORATE WITH COMMUNITY GROUPS AND AGENCIES TO ASSIST THOSE IN NEED IN PROVIDING SUCH SERVICES.HEALTH PROFESSIONS EDUCATION INCLUDES THE UNREIMBURSED COST OF TRAINING HEALTH PROFESSIONALS SUCH AS MEDICAL RESIDENTS, NURSING STUDENTS, TECHNICIANS AND STUDENTS IN ALLIED HEALTH PROFESSIONS.SUBSIDIZED HEALTH SERVICES ARE NET COSTS FOR BILLED SERVICES THAT ARE SUBSIDIZED BY THE HOSPITALS. THESE INCLUDE SERVICES OFFERED DESPITE A FINANCIAL LOSS BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND EITHER OTHER PROVIDERS ARE UNWILLING TO PROVIDE THE SERVICES OR THE SERVICES WOULD OTHERWISE NOT BE AVAILABLE IN SUFFICIENT AMOUNT. EXAMPLES OF SERVICES INCLUDE FREE-STANDING COMMUNITY CLINICS, HOSPICE CARE, MOBILE UNITS, AND BEHAVIORAL HEALTH SERVICES.RESEARCH INCLUDES UNREIMBURSED CLINICAL AND COMMUNITY HEALTH RESEARCH AND STUDIES ON HEALTH CARE DELIVERY.FINANCIAL CONTRIBUTIONS ARE MADE BY THE HOSPITALS ON BEHALF OF THE POOR AND UNDERSERVED TO COMMUNITY AGENCIES. THESE AMOUNTS INCLUDE SPECIAL SYSTEM-WIDE FUNDS USED FOR CHARITABLE ACTIVITIES AS WELL AS RESOURCES CONTRIBUTED DIRECTLY TO PROGRAMS, ORGANIZATIONS, AND FOUNDATIONS FOR EFFORTS ON BEHALF OF THE POOR AND UNDERSERVED. AMOUNTS INCLUDED HERE ALSO REPRESENT CERTAIN IN-KIND DONATIONS.COMMUNITY BUILDING ACTIVITIES INCLUDE THE COSTS OF PROGRAMS THAT IMPROVE THE PHYSICAL ENVIRONMENT, PROMOTE ECONOMIC DEVELOPMENT, ENHANCE OTHER COMMUNITY SUPPORT SYSTEMS, DEVELOP LEADERSHIP SKILLS TRAINING, AND BUILD COMMUNITY COALITIONS.COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEEDS AND/OR ASSET ASSESSMENTS, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
CONTINUED IN SCHEDULE O
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet1,056,629,273
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
Yes
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
1,005
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
3,746
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
IN , CA , OR
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletKIM SAXTON20555 VICTOR PARKWAYLIVONIAMI481527018 (734) 343-0844
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) RICHARD GILFILLAN MD........................................................................
PRESIDENT & CEO AS OF 11/13
25.00
.......................30.00
X   X       139,231 0 6,899
(2) JUDITH PERSICHILLI........................................................................
INTERIM PRES & CEO THROUGH 11/13
25.00
.......................30.00
X   X       0 4,068,101 25,456
(3) MELANIE DREHER PHD RN........................................................................
CHAIR
8.00
.......................10.00
X   X       49,250 0 0
(4) BARBARA WHEELEY RSM........................................................................
VICE CHAIR
8.00
.......................10.00
X   X       0 0 0
(5) ROBERTA WAITE EDD........................................................................
DIRECTOR
4.00
.......................5.00
X           23,250 0 0
(6) JAMES BENTLEY PHD........................................................................
DIRECTOR
4.00
.......................5.00
X           25,750 0 0
(7) SUZANNE BRENNAN CSC........................................................................
DIRECTOR
4.00
.......................7.00
X           0 0 0
(8) LINDA WERTHMAN RSM........................................................................
DIRECTOR
4.00
.......................5.00
X           0 0 0
(9) JOSEPH BETANCOURT MD........................................................................
DIRECTOR
4.00
.......................5.00
X           27,750 0 0
(10) MARY CATHERINE KARL CPA........................................................................
DIRECTOR
4.00
.......................5.00
X           22,500 0 0
(11) GEORGE PHILIP........................................................................
DIRECTOR
4.00
.......................5.00
X           22,500 0 0
(12) KATHLEEN POPKO SP........................................................................
DIRECTOR
4.00
.......................5.00
X           0 0 0
(13) STANLEY URBAN........................................................................
DIRECTOR
4.00
.......................7.00
X           24,000 0 0
(14) MARY MOLLISON CSA........................................................................
DIRECTOR THROUGH 12/13
4.00
.......................5.00
X           0 0 0
(15) LARRY WARREN........................................................................
INT COO THR 11/13; DIR AS OF 2/14
4.00
.......................5.00
X           1,635,500 0 0
(16) KEVIN BARNETT........................................................................
DIRECTOR AS OF 10/13
4.00
.......................5.00
X           8,868 4,500 0
(17) DAVID SOUTHWELL........................................................................
DIRECTOR AS OF 10/13
4.00
.......................5.00
X           5,500 0 0
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) PAUL NEUMANN........................................................................
SECRETARY, EVP & CHIEF LEGAL OFFICER
25.00
.......................30.00
    X       1,255,551 0 103,026
(19) AGNES HAGERTY........................................................................
ASST SEC AS OF 4/14; DEP GEN CSL
40.00
.......................10.00
    X       402,957 0 47,295
(20) MICHAEL HEMSLEY........................................................................
ASSISTANT SECRETARY; DEP GEN CSL
9.00
.......................41.00
    X       0 1,070,803 40,778
(21) JENNIFER BARNETT........................................................................
TREASURER, EVP & CFO THROUGH 4/14
25.00
.......................30.00
    X       0 1,219,369 30,695
(22) BENJAMIN CARTER........................................................................
ASST TREAS; TREAS AT 4/14, EVP & CFO
25.00
.......................30.00
    X       1,250,126 0 110,445
(23) CYNTHIA CLEMENCE........................................................................
ASST TREAS AS OF 4/14; VP FINANCE
25.00
.......................25.00
    X       469,946 0 49,750
(24) JAMES BOSSCHER........................................................................
SVP, TREASURY AND CHIEF INV OFFICER
45.00
.......................10.00
      X     820,344 0 88,666
(25) DEBRA CANALES........................................................................
EVP, CULTURE & TALENT OFF THR 11/13
45.00
.......................10.00
      X     1,285,014 0 1,217,524
(26) DANIEL HALE........................................................................
EVP, INST OF HLTH AND COMM BENEFIT
45.00
.......................10.00
      X     1,302,863 0 50,680
(27) RICHARD O'CONNELL........................................................................
EVP & PRES WEST/MIDWEST GROUP
50.00
.......................5.00
      X     1,673,574 0 145,485
(28) TERRENCE O'ROURKE MD........................................................................
EVP CLINICAL TRANSFORMATION
45.00
.......................10.00
      X     1,427,440 0 56,847
(29) DONALD BIGNOTTI MD........................................................................
SVP AND CHIEF MED OFFICER
40.00
.......................10.00
      X     917,887 0 113,910
(30) PAUL CONLON........................................................................
SVP, CLINICAL QUAL. & PATIENT SAFETY
40.00
.......................10.00
      X     764,160 0 113,528
(31) LOUIS FIERENS II........................................................................
SVP, SUPPLY CHAIN & FIXED ASSET MGMT
40.00
.......................10.00
      X     755,104 0 65,093
(32) REBECCA HAVLISCH........................................................................
SVP, INS & RISK MGMT SVCS THR 6/14
40.00
.......................10.00
      X     661,554 0 89,026
(33) MICHAEL HOLPER........................................................................
SVP, INTEGRITY & AUDIT SERVICES
40.00
.......................10.00
      X     666,220 0 90,132
(34) MARCUS SHIPLEY........................................................................
SVP & CHIEF INFORMATION OFFICER
40.00
.......................10.00
      X     984,016 0 64,904
(35) SCOTT NORDLUND........................................................................
EVP, GROWTH, STRATEGY & INNOVATION
45.00
.......................10.00
      X     758,935 0 79,193
(36) JOHN CAPASSO........................................................................
EVP & PRESIDENT OF CONTINUING CARE
25.00
.......................25.00
      X     0 850,184 45,673
(37) PETER DEANGELIS JR........................................................................
EVP & PRESIDENT, EAST GROUP
5.00
.......................50.00
      X     0 1,635,795 40,778
(38) MICHAEL FINEGAN........................................................................
SVP, INTEGRATION SERVICES
40.00
.......................10.00
      X     413,928 0 56,665
(39) CLAYTON FITZHUGH........................................................................
EVP, CHRO & INTEGRATION MGMT OFFICER
28.00
.......................27.00
      X     0 1,338,741 40,778
(40) PAUL HARKAWAY MD........................................................................
SVP, CLINICAL INTEGRATION
40.00
.......................10.00
      X     444,772 0 33,725
(41) PHILIP BOYLE........................................................................
VP, MISSION AND ETHICS
40.00
.......................10.00
      X     0 472,662 32,344
(42) NORA TRIOLA........................................................................
SVP & CHIEF NURSING OFFICER
25.00
.......................25.00
      X     0 919,493 31,195
(43) KEVIN SEARS........................................................................
VP, PAYER AND PRODUCT INNOVATION
40.00
.......................10.00
      X     460,637 0 30,692
(44) LARRY GOLDBERG........................................................................
PRES & CEO, LOYOLA UNIV HLTH SYS
0.00
.......................55.00
        X   1,359,745 0 127,409
(45) CLAUS VON ZYCHLIN........................................................................
PRESIDENT & CEO, MCHS, COLUMBUS
0.00
.......................55.00
        X   1,133,349 0 104,030
(46) GARRY FAJA........................................................................
PRESIDENT & CEO SE MICHIGAN REGION
0.00
.......................55.00
        X   1,100,401 0 38,521
(47) SALLY JEFFCOAT........................................................................
PRESIDENT & CEO, IDAHO/OREGON
0.00
.......................55.00
        X   1,050,502 0 98,506
(48) JACK WEINER........................................................................
PRESIDENT & CEO, OAKLAND
0.00
.......................55.00
        X   1,042,159 0 110,948
(49) JOSEPH SWEDISH........................................................................
FORMER OFFICER
0.00
.......................0.00
          X 1,463,995 0 28,888
(50) MARIANNE CUNNINGHAM........................................................................
FORMER OFFICER
50.00
.......................0.00
          X 168,430 0 28,979
(51) KEDRICK ADKINS........................................................................
FORMER KEY EMPLOYEE
0.00
.......................0.00
          X 1,808,589 0 1,739,236
(52) DANIEL DWYER........................................................................
FORMER KEY EMPLOYEE
0.00
.......................0.00
          X 534,464 0 165,474
(53) PRESTON GEE........................................................................
FORMER KEY EMPLOYEE
0.00
.......................0.00
          X 692,144 0 239,981
(54) GAY LANDSTROM........................................................................
FORMER KEY EMPLOYEE
50.00
.......................0.00
          X 732,702 0 110,984
(55) MARIA SZYMANSKI........................................................................
FORMER KEY EMPLOYEE
0.00
.......................0.00
          X 326,515 0 28,811
(56) MICHAEL SLUBOWSKI........................................................................
FORMER KEY EMPLOYEE
0.00
.......................0.00
          X 231,799 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 30,343,921 11,579,648 5,722,949
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet706
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
CERNER CORPORATION2800 ROCKCREEK PARKWAYNORTH KANSAS CITYMO64117 SOFTWARE SERVICES 34,619,190
BOSTON CONSULTING GROUP500 N AKARD SUITE 2600DALLASTX75201 CONSULTING 14,444,913
WORLD WIDE TECHNOLOGY INC60 WELDON PKWYMARYLAND HEIGHTSMO63043 SOFTWARE SERVICES 12,725,987
RELAYHEALTH MCKESSON5995 WINDWARD PKWYALPHARETTAGA30005 SOFTWARE SERVICES 11,431,931
ORACLE AMERICA INC500 ORACLE PKWYREDWOOD SHORESCA94065 SOFTWARE SERVICES 7,319,775
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet264
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
 
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet  
 Program Service RevenueAmt Business Code
2a SUBSIDIARY FEES 900099 833,966,374 833,966,374    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 833,966,374
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 140,561,324     140,561,324
4 Income from investment of tax-exempt bond proceeds..MediumBullet 30,769     30,769
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 37,797,679  
b Less: cost or other basis and sales expenses 0 913,629
c Gain or (loss) 37,797,679 -913,629
d Net gain or (loss)..........MediumBullet 36,884,050     36,884,050
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a INTERCOMPANY PURCHASED SERVICES 900099 14,756,014 14,756,014    
b SVCS TO UNRELATED ORGS 541519 574,490   574,490  
c            
d All other revenue .... 34,400,363 34,400,363    
e Total. Add lines 11a–11d ...... MediumBullet 49,730,867
12 Total revenue. See Instructions......MediumBullet 1,061,173,384 883,122,751 574,490 177,476,143
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 995,175 995,175
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 21,136,716   21,136,716  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 4,681,209   4,681,209  
7 Other salaries and wages 275,211,145 275,211,145    
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 19,380,684 19,380,684    
9 Other employee benefits ....... 50,052,657 50,052,657    
10 Payroll taxes ........... 20,320,514 20,320,514    
11 Fees for services (non-employees):        
a Management ...... 1,864,517 1,864,517    
b Legal ......... 3,841,806   3,841,806  
c Accounting ........... 3,046,820   3,046,820  
d Lobbying ........... 300,000   300,000  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 40,732,412 40,732,412    
12 Advertising and promotion .... 701,674 701,674    
13 Office expenses ....... 43,365,010 43,365,010    
14 Information technology ...... 97,094,055 97,094,055    
15 Royalties ..        
16 Occupancy ........... 7,373,626 7,373,626    
17 Travel ............ 6,643,748 6,643,748    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 3,737,808 3,737,808    
20 Interest ........... 110,348,555 110,348,555    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 97,420,309 97,420,309    
23 Insurance .............. 101,677,918 101,677,918    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a RESTRUCTURING EXPENSE 74,114,365 74,114,365    
b EQUIPMENT MAINTENANCE 65,116,677 65,116,677    
c CONTRACT LABOR EXPENSES 17,683,145 17,683,145    
d SUBSCRIPTIONS & DUES 3,293,382 3,293,382    
e All other expenses 19,501,897 19,501,897    
25 Total functional expenses. Add lines 1 through 24e 1,089,635,824 1,056,629,273 33,006,551 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 242,044 1 253,354
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 660,635 4 75,902,306
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net ............. 3,217,985,512 7 4,687,005,156
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 45,169,101 9 49,682,356
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 755,773,349
b Less: accumulated depreciation ..... 10b 425,352,893 357,084,269 10c 330,420,456
11 Investments—publicly traded securities .......... 733,984,924 11 914,121,686
12 Investments—other securities. See Part IV, line 11 ..... 627,679,025 12 625,995,782
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 133,915,575 15 141,891,571
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 5,116,721,085 16 6,825,272,667
Liabilities 17 Accounts payable and accrued expenses ......... 1,073,203,843 17 1,385,744,843
18 Grants payable .................   18  
19 Deferred revenue ................ 193,567 19 115,133
20 Tax-exempt bond liabilities ............. 3,030,986,656 20 4,300,820,859
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties .... 368,922,593 24 239,961,313
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 739,828,219 25 891,839,453
26 Total liabilities. Add lines 17 through 25......... 5,213,134,878 26 6,818,481,601
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. -96,502,398 27 6,781,591
28 Temporarily restricted net assets ........... 88,605 28 9,475
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... -96,413,793 33 6,791,066
34 Total liabilities and net assets/fund balances ........ 5,116,721,085 34 6,825,272,667
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,061,173,384
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,089,635,824
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-28,462,440
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
-96,413,793
5
Net unrealized gains (losses) on investments ...............
5
53,602,894
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
78,064,405
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
6,791,066
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
No
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
(A) TRINITY HEALTH - MICHIGAN
 
382113393 3 Yes   Yes   Yes   247,388
(B) HOLY CROSS HEALTH INC
 
520738041 3 Yes   Yes   Yes   63,245
(C) HOSP SUBS MCHS
 
311439334 3 Yes   Yes   Yes   0
(D) HOSP SUBS SJRMC
 
351568821 3 Yes   Yes   Yes   12,500
(E) HOSP SUBS SAHS
 
271929502 3 Yes   Yes   Yes   12,500
(F) SAINT AGNES MEDICAL CENTER
 
941437713 3 Yes   Yes   Yes   25,000
(G) MERCY HEALTH SERVICES - IOWA CORP
 
311373080 3 Yes   Yes   Yes   114,659
(H) HOSP SUBS MHP
 
382589966 3 Yes   Yes   Yes   50,342
(I) HOSP SUBS M CHICAGO
 
363163327 3 Yes   Yes   Yes   25,000
(J) HOSP SUBS LUHS
 
363342448 3 Yes   Yes   Yes   121,267
(K) MERCY MEDICAL CENTER - CLINTON
 
421336618 3 Yes   Yes   Yes   5,000
Total 676,901

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
 
e
Publications, or published or broadcast statements? .......................
Yes
 
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
320,000
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
Yes
 
 
i
Other activities? ..........................
Yes
 
730,000
j
Total. Add lines 1c through 1i ...............................
1,050,000
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: INSPIRED BY TRINITY HEALTH'S MISSION, TRINITY HEALTH ADVOCACY LEVERAGES MINISTRY EXPERIENCES TO INFLUENCE POLICY SOLUTIONS THAT TRANSFORM THE HEALTH CARE SYSTEM. AS A CATHOLIC HEALTH MINISTRY, WE ARE CALLED BOTH TO SERVE AND TO TRANSFORM. WE SERVE PEOPLE AND COMMUNITIES IN NEED, ESPECIALLY THE POOR AND UNDERSERVED. WE ALSO SEEK TO TRANSFORM SYSTEMS OF CARE AND POLICIES TO CREATE JUSTICE FOR ALL. ADVOCACY AT TRINITY HEALTH SUPPORTS BOTH OF THESE FOUNDATIONAL ELEMENTS OF OUR FAITH-BASED MISSION. WE ADVOCATE FOR POLICIES THAT SUPPORT OUR CAPACITY TO SERVE OTHERS (E.G., MEDICARE PAYMENTS). WE ALSO ADVOCATE FOR FUNDAMENTAL CHANGE, TO TRANSFORM, BY SEEKING ACCESS TO HEALTHCARE FOR ALL. OUR 2014 FEDERAL AND STATE ADVOCACY GOALS INCLUDED: - ENSURE MAXIMUM COVERAGE AND ACCESS, INCLUDING SUPPORTING EXCHANGE IMPLEMENTATION AND MEDICAID EXPANSION - DRIVE QUALITY AND EFFICIENCY ACROSS THE CONTINUUM OF CARE WITH VALUE-BASED, SUSTAINABLE PAYMENT MODELS - STRENGTHEN TRINITY HEALTH'S POSITION AS A RESPECTED POLICY PARTNER - BOLSTER OUR ADVOCACY VOICE THROUGH EFFECTIVE SYSTEM-WIDE ENGAGEMENT - LEAD THE WAY TRINITY HEALTH'S ADVOCACY ENCOURAGES OUR FEDERAL AND STATE LEADERS TO WORK TOWARD A SYSTEM THAT PROVIDES AFFORDABLE COVERAGE AND HIGH-VALUE, COORDINATED CARE TO EVERY PATIENT. OUR NETWORK OF HEALTH CARE PROVIDERS JOINS IN THESE EFFORTS WHILE, AT THE SAME TIME, CONTINUING TO IMPLEMENT EVIDENCE-BASED PRACTICES THAT ALLOW THEM TO ACHIEVE WHAT THEY SET OUT TO DO WHEN THEY FIRST CHOSE THIS CAREER, DELIVER THE BEST POSSIBLE CARE. TRINITY HEALTH'S ADVOCACY EFFORTS KEEP US MOVING FORWARD EVERY DAY TO EDUCATE, INFORM AND SERVE AS A RESOURCE TO EMPLOYEES, PATIENTS, AFFILIATED CLINICIANS AND CAREGIVERS, THE GENERAL PUBLIC AND POLICYMAKERS, AS WELL. WE SHARE OUR KNOWLEDGE OF, AND EXPERIENCE WITH, WHAT WORKS BY: - PROVIDING ASSISTANCE TO MORE THAN 300,000 PEOPLE INTERESTED IN CHOOSING A HEALTH PLAN, INCLUDING 175,000 FROM THE MEDICAID POPULATION - SHARING OUR SUCCESS STORIES, ADVOCATING WITH GOVERNMENT FOR LONGER-TERM IMPROVEMENTS TO THE MARKETPLACE AND STATE-BASED HEALTH INSURANCE EXCHANGES LOBBYING ACTIVITY PERFORMED BY TRINITY HEALTH CORPORATION INCLUDED: - TRINITY HEALTH CEO MET WITH FEDERAL LEGISLATORS AND WHITE HOUSE STAFF - PROVIDED COMMENTS ON PROPOSALS PERTAINING TO QUALITY MEASUREMENTS IN THE HEALTH INSURANCE EXCHANGE - ENCOURAGEMENT OF ASSOCIATES TO WRITE LETTERS TO PUBLIC OFFICIALS - AN "ADVOCACY ACTION" WEBSITE TO ENGAGE ASSOCIATES IN FEDERAL ADVOCACY - DESIGNATE AN ADVOCACY LIAISON FOR EACH MINISTRY ORGANIZATION OF TRINITY HEALTH - ENGAGEMENT OF A LOBBYIST IN WASHINGTON, D.C. - LEGISLATOR VISITS TO MINISTRY ORGANIZATIONS - COLLABORATION WITH THE CATHOLIC HOSPITAL ASSOCIATION (CHA), AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) - GRANTS FOR LOBBYING PURPOSES IN THE FORM OF MEMBERSHIP DUES PAID TO HEALTHCARE ORGANIZATIONS - ADVOCACY ACTION DAYS AT THE STATE LEVEL, ATTENDED BY TRINITY HEALTH EXECUTIVES AND EXECUTIVES REPRESENTING THE MEMBER HOSPITALS OF TRINITY HEALTH. - PARTICIPATION IN AMERICAN HEALTH ASSOCIATION ADVOCACY EVENTS
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   19,946,658 19,946,658
b Buildings ................   12,154,637 7,808,474 4,346,163
c Leasehold improvements ............        
d Equipment ................   682,483,613 417,544,419 264,939,194
e Other .................   41,188,441   41,188,441
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 330,420,456
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES
127,581,335 F

(B) INTEREST RATE SWAP AGREEMENTS
26,363,509 F

(C) EQUITY METHOD INVESTMENTS (AT COST)
280,678,936 C

(D) HEDGE FUNDS
191,372,002 F





Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 625,995,782
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
INTERCOMPANY ACCOUNTS PAYABLE 17,643,249
INTERCOMPANY OTHER LONG TERM LIABILITIES 347,958,394
DEFERRED COMPENSATION LIABILITY 56,062,477
SECURITY LENDING OBLIGATION 187,882,490
ASSET RETIREMENT OBLIGATION (FIN 47) 1,017,112
OTHER LONG TERM LIABILITIES 208,169,502
OTHER CURRENT LIABILITIES 72,958,355
LEASE OBLIGATION 147,874

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 891,839,453
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers.Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ...............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total expenditures
for and investments
in region
CENTRAL AMERICA AND THE CARIBBEAN     PROGRAM SERVICES WHOLLY-OWNED FOREIGN INSURANCE COMPANY 62,372,187
CENTRAL AMERICA AND THE CARIBBEAN     INVESTMENTS   1,363,732,391
EAST ASIA AND THE PACIFIC     INVESTMENTS   80,201,316
EUROPE     INVESTMENTS   390,661,560
NORTH AMERICA     INVESTMENTS   157,361,619
SOUTH AMERICA     INVESTMENTS   20,819,950
SUB-SAHARAN AFRICA     INVESTMENTS   6,330,055
MIDDLE EAST AND NORTH AFRICA     INVESTMENTS   1,349,737
RUSSIA AND THE NEWLY INDEPENDENT STATES     INVESTMENTS   1,618,723
SOUTH ASIA     INVESTMENTS   2,459,926
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 2,082,828,815
b Total from continuation sheets to Part I ... 0 0 4,078,649
c Totals (add lines 3a and 3b) 0 0 2,086,907,464
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2013
Additional Data


Software ID:  
Software Version:  



Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) WOMENS VISION FOUNDATION
3900 EAST MEXICO AVE
DENVER,CO80210
84-1155755 501(C)(3) 10,000       COMMUNITY WELFARE
(2) ST FRANCIS CABRINI CLINIC
1234 PORTER STREET
DETROIT,MI48226
38-3129349 501(C)(3) 10,000       COMMUNITY WELFARE
(3) MERCY EDUCATION PROJECT
1450 HOWARD STREET
DETROIT,MI48216
38-3209556 501(C)(3) 10,264       COMMUNITY WELFARE
(4) MASSACHUSETTS GENERAL HOSPITAL DBA DISPARITIES SOLUTIONS CENTER
50 STANIFORD STREET SUITE 901
BOSTON,MA02114
04-1564655 501(C)(3) 5,000       COMMUNITY WELFARE
(5) COMMUNITY HEALTH LEADERSHIP NETWORK DBA COMMUNITIES JOINED IN ACTION
1910 4TH AVE E PMB 212
OLYMPIA,WA98506
52-2305386 501(C)(3) 15,000       COMMUNITY WELFARE
(6) CATHOLIC CHARITIES OF IDAHO
1501 S FEDERAL WAY
BOISE,ID83705
82-0524367 501(C)(3) 5,000       COMMUNITY WELFARE
(7) JOY SOUTHFIELD COMMUNITY DEVELOPMENT CORPORATION
18917 JOY ROAD
DETROIT,MI48228
38-3622930 501(C)(3) 5,000       COMMUNITY WELFARE
(8) ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269
269
PALM HARBOR,FL34684
58-1492325 501(C)(3) 10,000       COMMUNITY WELFARE - CALL TO CARE GRANT
(9) GLOBAL HEALTH MINISTRY
3805 WEST CHESTER PIKE SUITE 100
NEWTOWN SQUARE,PA19073
23-3068656 501(C)(3) 13,125       COMMUNITY WELFARE - CALL TO CARE GRANT
(10) HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY
FT LAUDERDALE,FL33308
59-0791028 501(C)(3) 12,500       COMMUNITY WELFARE - CALL TO CARE GRANT
(11) MERCY HOSPITAL INC
C/O SPHS 1221 MAIN STREET NO 213
HOLYOKE,MA01040
04-3398280 501(C)(3) 12,500       COMMUNITY WELFARE - CALL TO CARE GRANT
(12) SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVENUE
FRESNO,CA93720
94-1437713 501(C)(3) 25,000       COMMUNITY WELFARE - CALL TO CARE GRANT
(13) MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1113966 501(C)(3) 56,228       COMMUNITY WELFARE - CALL TO CARE GRANT
(14) TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY
LIVONIA,MI48152
38-2113393 501(C)(3) 247,388       COMMUNITY WELFARE - CALL TO CARE GRANT
(15) MERCY HEALTH PARTNERS
1415 LEAHY ST
MUSKEGON,MI49422
38-2589966 501(C)(3) 50,342       COMMUNITY WELFARE - CALL TO CARE GRANT
(16) MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW
MASON CITY,IA50401
31-1373080 501(C)(3) 114,659       COMMUNITY WELFARE - CALL TO CARE GRANT
(17) LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE
MAYWOOD,IL60153
36-4015560 501(C)(3) 121,267       COMMUNITY WELFARE - CALL TO CARE GRANT
(18) SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROAD
BOISE,ID83706
27-1929502 501(C)(3) 12,500       COMMUNITY WELFARE - CALL TO CARE GRANT
(19) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS
5215 HOLY CROSS PARKWAY
MISHAWAKA,IN46545
35-0868157 501(C)(3) 12,500       COMMUNITY WELFARE - CALL TO CARE GRANT
(20) HOLY CROSS HEALTH INC
1500 FOREST GLEN ROAD
SILVER SPRING,MD20910
52-0738041 501(C)(3) 63,245       COMMUNITY WELFARE - CALL TO CARE GRANT
(21) MERCY HOSPITAL AND MEDICAL CENTER
2525 SOUTH MICHIGAN AVE
CHICAGO,IL60616
36-2170152 501(C)(3) 25,000       COMMUNITY WELFARE - CALL TO CARE GRANT
(22) MERCY MEDICAL CENTER - CLINTON
1410 NORTH 4TH STREET
CLINTON,IA52732
42-1336618 501(C)(3) 5,000       COMMUNITY WELFARE - CALL TO CARE GRANT
(23) MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100
CONSHOHOCKEN,PA19428
23-2212638 501(C)(3) 12,500       COMMUNITY WELFARE - CALL TO CARE GRANT
(24) MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUE
MUSKEGON,MI49440
91-1932918 501(C)(3) 81,679       COMMUNITY WELFARE - CALL TO CARE GRANT
(25) OUR LADY OF LOURDES MEDICAL CENTER
1600 HADDON AVENUE
CAMDEN,NJ08103
21-0635001 501(C)(3) 25,000       COMMUNITY WELFARE - CALL TO CARE GRANT
(26) ST FRANCIS MEDICAL CENTER
601 HAMILTON AVENUE
TRENTON,NJ08629
22-3431049 501(C)(3) 12,500       COMMUNITY WELFARE - CALL TO CARE GRANT
(27) ST MARY'S HEALTH CARE SYSTEM
1230 BAXTER STREET
ATHENS,GA30606
58-0566223 501(C)(3) 7,000       COMMUNITY WELFARE - CALL TO CARE GRANT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
27
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: DONATIONS MADE BY TRINITY HEALTH CORPORATION TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. TRINITY HEALTH ALSO HAS ESTABLISHED A "CALL TO CARE" PROGRAM. THE PROGRAM STRIVES TO ELIMINATE BARRIERS TO HEALTHCARE, EXPAND ACCESS TO HEALTH SERVICES, AND BUILD HEALTHIER COMMUNITIES. MEMBER ORGANIZATIONS OF THE TRINITY HEALTH SYSTEM MAY APPLY TO THIS FUND FOR GRANTS TO SUPPORT NEEDS WITHIN THEIR COMMUNITIES THAT HAVE BEEN IDENTIFIED BY THEIR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)JUDITH PERSICHILLIINTERIM PRES & CEO THROUGH 11/13 (i)
(ii)
0
1,311,163
0
1,102,307
0
1,654,631
0
18,975
0
6,481
0
4,093,557
0
0
(2)LARRY WARRENINT COO THR 11/13; DIR AS OF 2/14 (i)
(ii)
1,635,500
0
0
0
0
0
0
0
0
0
1,635,500
0
0
0
(3)PAUL NEUMANNSECRETARY, EVP & CHIEF LEGAL OFFICER (i)
(ii)
511,279
0
626,797
0
117,475
0
74,894
0
28,132
0
1,358,577
0
0
0
(4)AGNES HAGERTYASST SEC AS OF 4/14; DEP GEN CSL (i)
(ii)
355,901
0
23,243
0
23,813
0
32,268
0
15,027
0
450,252
0
0
0
(5)MICHAEL HEMSLEYASSISTANT SECRETARY; DEP GEN CSL (i)
(ii)
0
453,201
0
378,059
0
239,543
0
18,975
0
21,803
0
1,111,581
0
0
(6)JENNIFER BARNETTTREASURER, EVP & CFO THROUGH 4/14 (i)
(ii)
0
631,567
0
425,195
0
162,607
0
18,975
0
11,720
0
1,250,064
0
0
(7)BENJAMIN CARTERASST TREAS; TREAS AT 4/14, EVP & CFO (i)
(ii)
581,124
0
586,500
0
82,502
0
84,996
0
25,449
0
1,360,571
0
0
0
(8)CYNTHIA CLEMENCEASST TREAS AS OF 4/14; VP FINANCE (i)
(ii)
347,294
0
120,834
0
1,818
0
28,563
0
21,187
0
519,696
0
0
0
(9)JAMES BOSSCHERSVP, TREASURY AND CHIEF INV OFFICER (i)
(ii)
351,725
0
348,218
0
120,401
0
75,455
0
13,211
0
909,010
0
15,518
0
(10)DEBRA CANALESEVP, CULTURE & TALENT OFF THR 11/13 (i)
(ii)
478,205
0
662,993
0
143,816
0
1,207,004
0
10,520
0
2,502,538
0
24,875
0
(11)DANIEL HALEEVP, INST OF HLTH AND COMM BENEFIT (i)
(ii)
515,065
0
692,503
0
95,295
0
29,355
0
21,325
0
1,353,543
0
0
0
(12)RICHARD O'CONNELLEVP & PRES WEST/MIDWEST GROUP (i)
(ii)
731,422
0
769,386
0
172,766
0
111,806
0
33,679
0
1,819,059
0
0
0
(13)TERRENCE O'ROURKE MDEVP CLINICAL TRANSFORMATION (i)
(ii)
597,332
0
639,605
0
190,503
0
21,052
0
35,795
0
1,484,287
0
0
0
(14)DONALD BIGNOTTI MDSVP AND CHIEF MED OFFICER (i)
(ii)
469,211
0
368,380
0
80,296
0
92,360
0
21,550
0
1,031,797
0
13,494
0
(15)PAUL CONLONSVP, CLINICAL QUAL. & PATIENT SAFETY (i)
(ii)
356,435
0
337,905
0
69,820
0
91,584
0
21,944
0
877,688
0
13,006
0
(16)LOUIS FIERENS IISVP, SUPPLY CHAIN & FIXED ASSET MGMT (i)
(ii)
350,020
0
345,114
0
59,970
0
49,957
0
15,136
0
820,197
0
10,841
0
(17)REBECCA HAVLISCHSVP, INS & RISK MGMT SVCS THR 6/14 (i)
(ii)
310,093
0
292,006
0
59,455
0
66,392
0
22,634
0
750,580
0
12,813
0
(18)MICHAEL HOLPERSVP, INTEGRITY & AUDIT SERVICES (i)
(ii)
304,834
0
305,732
0
55,654
0
67,323
0
22,809
0
756,352
0
11,140
0
(19)MARCUS SHIPLEYSVP & CHIEF INFORMATION OFFICER (i)
(ii)
487,508
0
434,192
0
62,316
0
46,464
0
18,440
0
1,048,920
0
0
0
(20)SCOTT NORDLUNDEVP, GROWTH, STRATEGY & INNOVATION (i)
(ii)
453,079
0
189,309
0
116,547
0
54,769
0
24,424
0
838,128
0
0
0
(21)JOHN CAPASSOEVP & PRESIDENT OF CONTINUING CARE (i)
(ii)
0
403,753
0
289,832
0
156,599
0
18,975
0
26,698
0
895,857
0
0
(22)PETER DEANGELIS JREVP & PRESIDENT, EAST GROUP (i)
(ii)
0
770,127
0
601,467
0
264,201
0
18,975
0
21,803
0
1,676,573
0
0
(23)MICHAEL FINEGANSVP, INTEGRATION SERVICES (i)
(ii)
304,970
0
63,938
0
45,020
0
35,670
0
20,995
0
470,593
0
0
0
(24)CLAYTON FITZHUGHEVP, CHRO & INTEGRATION MGMT OFFICER (i)
(ii)
0
610,746
0
465,362
0
262,633
0
18,975
0
21,803
0
1,379,519
0
0
(25)PAUL HARKAWAY MDSVP, CLINICAL INTEGRATION (i)
(ii)
341,079
0
93,844
0
9,849
0
13,500
0
20,225
0
478,497
0
0
0
(26)PHILIP BOYLEVP, MISSION AND ETHICS (i)
(ii)
0
262,073
0
132,488
0
78,101
0
19,963
0
12,381
0
505,006
0
0
(27)NORA TRIOLASVP & CHIEF NURSING OFFICER (i)
(ii)
0
403,575
0
316,622
0
199,296
0
18,975
0
12,220
0
950,688
0
0
(28)KEVIN SEARSVP, PAYER AND PRODUCT INNOVATION (i)
(ii)
304,986
0
114,929
0
40,722
0
12,750
0
17,942
0
491,329
0
0
0
(29)LARRY GOLDBERGPRES & CEO, LOYOLA UNIV HLTH SYS (i)
(ii)
752,289
0
489,944
0
117,512
0
109,903
0
17,506
0
1,487,154
0
0
0
(30)CLAUS VON ZYCHLINPRESIDENT & CEO, MCHS, COLUMBUS (i)
(ii)
539,068
0
474,686
0
119,595
0
76,055
0
27,975
0
1,237,379
0
23,713
0
(31)GARRY FAJAPRESIDENT & CEO SE MICHIGAN REGION (i)
(ii)
565,249
0
420,525
0
114,627
0
17,850
0
20,671
0
1,138,922
0
8,494
0
(32)SALLY JEFFCOATPRESIDENT & CEO, IDAHO/OREGON (i)
(ii)
509,104
0
449,308
0
92,090
0
74,144
0
24,362
0
1,149,008
0
0
0
(33)JACK WEINERPRESIDENT & CEO, OAKLAND (i)
(ii)
424,894
0
325,543
0
291,722
0
72,915
0
38,033
0
1,153,107
0
21,476
0
(34)JOSEPH SWEDISHFORMER OFFICER (i)
(ii)
344,758
0
0
0
1,119,237
0
21,706
0
7,182
0
1,492,883
0
0
0
(35)MARIANNE CUNNINGHAMFORMER OFFICER (i)
(ii)
167,604
0
0
0
826
0
10,136
0
18,843
0
197,409
0
0
0
(36)KEDRICK ADKINSFORMER KEY EMPLOYEE (i)
(ii)
504,488
0
873,685
0
430,416
0
1,730,702
0
8,534
0
3,547,825
0
45,090
0
(37)DANIEL DWYERFORMER KEY EMPLOYEE (i)
(ii)
125,750
0
257,380
0
151,334
0
148,945
0
16,529
0
699,938
0
0
0
(38)PRESTON GEEFORMER KEY EMPLOYEE (i)
(ii)
178,093
0
288,903
0
225,148
0
217,754
0
22,227
0
932,125
0
52,808
0
(39)GAY LANDSTROMFORMER KEY EMPLOYEE (i)
(ii)
351,452
0
318,787
0
62,463
0
89,330
0
21,654
0
843,686
0
13,461
0
(40)MARIA SZYMANSKIFORMER KEY EMPLOYEE (i)
(ii)
44,093
0
256,424
0
25,998
0
27,155
0
1,656
0
355,326
0
21,247
0
(41)MICHAEL SLUBOWSKIFORMER KEY EMPLOYEE (i)
(ii)
0
0
0
0
231,799
0
0
0
0
0
231,799
0
231,799
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A THE FOLLOWING INDIVIDUAL RECEIVED REIMBURSEMENT OF COMPANION TRAVEL EXPENSES DURING CALENDAR 2013: SALLY JEFFCOAT - $170 THIS AMOUNT WAS INCLUDED IN MS. JEFFCOAT'S TAXABLE INCOME AND IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II. THE FOLLOWING INDIVIDUAL RECEIVED A TAX GROSS-UP PAYMENT DURING CALENDAR 2013: SCOTT NORDLUND - $13,804 THIS AMOUNT WAS INCLUDED IN MR. NORDLUND'S TAXABLE INCOME AND IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT OR REIMBURSEMENT OF HOUSING EXPENSES DURING CALENDAR 2013: PAUL NEUMANN - $46,297 RICHARD O'CONNELL - $44,764 TERRENCE O'ROURKE - $54,440 KEVIN SEARS - $39,769 JOSEPH SWEDISH - $14,013 THESE AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S TAXABLE INCOME AND ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II.
PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2013. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III): KEDRICK ADKINS - $310,298 DEBRA CANALES - $40,034 DANIEL DWYER - $123,291 PRESTON GEE - $140,298 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERENCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/13: KEDRICK ADKINS - $1,347,759 ($814,924 PAID IN 2014 AND $532,835 TO BE PAID IN 2015) DEBRA CANALES - $1,134,976 ($520,448 PAID IN 2014 AND $614,528 TO BE PAID IN 2015 AND 2016) DANIEL DWYER - $131,119 PAID IN 2014 PRESTON GEE - $186,258 PAID IN 2014 PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH CASH BALANCE RESTORATION AND RETENTION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETENTION BENEFITS PLUS RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($255,000 FOR 2013). THE FOLLOWING ACCRUALS FOR 2013 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $106,281 DONALD BIGNOTTI - $71,379 JAMES BOSSCHER - $50,952 DEBRA CANALES - $59,278 BENJAMIN CARTER - $72,246 PAUL CONLON - $51,829 LOUIS FIERENS - $36,239 MICHAEL FINEGAN - $22,920 PRESTON GEE - $18,005 LARRY GOLDBERG - $89,653 REBECCA HAVLISCH - $43,245 MICHAEL HOLPER - $42,223 SALLY JEFFCOAT - $61,394 GAY LANDSTROM - $50,095 PAUL NEUMANN - $62,144 SCOTT NORDLUND - $42,019 RICHARD O'CONNELL - $99,056 MARCUS SHIPLEY - $36,343 CLAUS VON ZYCHLIN - $63,305 JACK WEINER - $43,101 THE FOLLOWING IS A PARTICIPANT IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUAL FOR 2013 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $258,812 PART II, COLUMN B (II): THE FOLLOWING INDIVIDUALS RECEIVED AMOUNTS IN 2013 FROM A LONG-TERM INCENTIVE PLAN (LTIP). PARTICIPANTS IN THE LTIP (CEOS AND CERTAIN TRINITY EXECUTIVES) WERE ELIGIBLE TO RECEIVE A PAYMENT UNDER THE PLAN ONLY IF CERTAIN CULTURE OF SAFETY SURVEY SCORE TARGETS WERE ACHIEVED AT THE END OF A THREE-YEAR PERIOD (FY11 THROUGH FY13). THE FOLLOWING LTIP AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II): KEDRICK ADKINS - $372,833 DONALD BIGNOTTI - $133,979 JAMES BOSSCHER - $160,406 DEBRA CANALES - $244,552 BENJAMIN CARTER - $253,562 PAUL CONLON - $146,863 DANIEL DWYER - $116,035 GARRY FAJA - $264,972 LOUIS FIERENS - $159,248 PRESTON GEE- $148,968 LARRY GOLDBERG - $198,755 DANIEL HALE - $242,723 REBECCA HAVLISCH - $131,415 MICHAEL HOLPER - $140,373 SALLY JEFFCOAT - $236,045 GAY LANDSTROM - $148,434 PAUL NEUMANN - $237,224 RICHARD O'CONNELL - $294,870 TERRENCE O'ROURKE - $258,184 MARCUS SHIPLEY - $98,000 MARIA SZYMANSKI - $160,050 CLAUS VON ZYCHLIN - $252,477 JACK WEINER - $201,747 PART II, COLUMN B(III): THE FOLLOWING INDIVIDUALS ARE VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JENNIFER BARNETT - $139,649 PHILLIP BOYLE - $56,318 JOHN CAPASSO - $120,727 PETER DEANGELIS - $229,800 CLAYTON FITZHUGH - $233,492 MICHAEL HEMSLEY - $206,429 JUDITH PERSICHILLI - $1,601,362 JOSEPH SWEDISH - $543,977 MICHAEL SLUBOWSKI - $231,799 NORA TRIOLA - $168,684 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS.
PART I, LINE 7 EXECUTIVE MANAGEMENT EMPLOYED BY TRINITY HEALTH ARE COMPENSATED UNDER A MULTI-TIERED, GOAL-BASED PROGRAM WHICH INCLUDES BASE PAY AND A VARIABLE PORTION. THE VARIABLE PORTION IS REFERRED TO AS "AT RISK COMPENSATION". EACH OF THE ELIGIBLE MEMBERS OF EXECUTIVE MANAGEMENT IS ASSIGNED PERFORMANCE GOALS ALIGNED WITH ORGANIZATIONAL STRATEGIC GOALS. EACH GOAL HAS MINIMUM THRESHOLD CRITERIA, TARGET CRITERIA AND A MAXIMUM.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
 
80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
 
93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
 
35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI   X   X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 CHE   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCX0 06-27-2012 111,382,312 SEE PART VI - 2012A CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 87515EAW4 06-27-2012 30,191,951 SEE PART VI - 2012A FL CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEN1 06-27-2012 18,037,065 SEE PART VI - 2012A NC CHE   X   X   X
STATE OF CONNECTICUT HLTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774UW35 04-07-2010 19,216,533 SEE PART VI - 2010CT CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 875231JR4 04-07-2010 26,829,425 SEE PART VI - 2010FL CHE   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586ESB8 04-07-2010 16,901,948 SEE PART VI - 2010 MA CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEC5 04-07-2010 15,773,834 SEE PART VI - 2010NC CHE   X   X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FZR7 03-31-2010 131,123,284 SEE PART VI - 2010NJ CHE X     X   X
ST MARY HOSPITAL AUTHORITY
 
22-1913910 85230MCA0 04-07-2010 164,735,960 SEE PART VI - 2010AB CHE   X   X   X
DVLPMT AUTHORITY OF THE UNIFIED GOVT OF ATHENS-CLARKE
 
58-2613761 040759BB5 03-19-2009 16,036,560 SEE PART VI - 2009 GA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586EGR6 03-19-2009 30,099,842 SEE PART VI - 2009 MA   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SH3 03-19-2009 5,396,661 SEE PART VI - 2009 PA   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBM5 03-19-2009 33,804,223 SEE PART VI - 2009 PA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D X     X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FQE6 04-19-2007 101,395,000 SEE PART VI - 2007E X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MAR5 12-14-2004 13,848,093 SEE PART VI - 2004A   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBG8 12-14-2004 60,748,094 SEE PART VI - 2004B X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603PV5 12-14-2004 18,533,876 SEE PART VI - 2004C X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000 7,115,000 2,265,000 21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 1,254,863 5,564,252 1,697,620  
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 2,827,688 17,496,832 2,827,688 50,754,783
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . . 66,021     66,021
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073 6,718,900 10,415,583 25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . . 4,268,791   4,268,791  
13 Year of substantial completion . . . . . . . . . . . . 2012 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.210 % 0.210 % 0.210 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.020 % 0.020 % 0.020 % 0.020 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.020 % 0.020 % 0.020 % 0.020 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 1.920 %   1.920 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X       X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
MERRILL LYNCH
 
CAPITAL
CAPITAL
c Term of hedge . . . . . . . . . . 21.600000000000 21.600000000000 21.600000000000 21.600000000000
d Was the hedge superintegrated? . . . .   X   X   X   X
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . CITIGROUP FINANCIAL
 
AIG MATCHED FUNDING
 
AIG MATCHED FUNDING
 
 
 
c Term of GIC . . . . . . . . . . 12.400000000000 1.800000000000 1.800000000000  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 ISSUER NAME: DVLPMT. AUTHORITY OF THE UNIFIED GOVT. OF ATHENS-CLARKE DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2009 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/04/2010 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009
PART I, LINE (F) - 2013 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2013 MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MARYLAND. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN IDAHO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE.
PART I, LINE (F) -CONTINUED 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATION SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATION SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION
PART I, LINE (F) - CONTINUED 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED." PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL. 2004A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: REBATE COMPUTATION WAS PERFORMED: 11/09/2009 2004B PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED 03/04/2010 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2004C PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007E PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 PART III, LINE 8C: CERTAIN HOSPITAL ASSETS THAT WERE FINANCED AND REFINANCED WITH PROCEEDS OF THE SERIES 1998E BONDS, THE SERIES 2007E BONDS AND THE SERIES 2010 BONDS WERE SOLD TO A NON-501(C)(3) ORGANIZATION ON OR ABOUT OCTOBER 5, 2011, BUT THE HOSPITAL DID NOT REMEDIATE THESE ISSUES OF BONDS WITHIN THE PERMITTED TIMEFRAME. AS A RESULT, THE HOSPITAL AND CHE FILED A LETTER WITH THE IRS REQUESTING REMEDIATION AND A CLOSING AGREEMENT THROUGH THE IRS VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP). AS PART OF THE CLOSING AGREEMENT REQUESTED FROM THE IRS, THE HOSPITAL REDEEMED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1998E BONDS AND THE 2007E BONDS IN MAY 2013, AND DEFEASED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2010 BONDS IN JUNE 2013. ON APRIL 15, 2014, CHE AND THE HOSPITAL EXECUTED A FINAL CLOSING AGREEMENT WITH THE IRS PURSUANT TO ITS VCAP SUBMISSION THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2009PA (MONTCO) TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2007D, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2009PA (SMHA) PART II, COLUMN C, LINE11: AMOUNT INCLUDES $9,141,670 OF PROCEEDS WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2009 MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. CURRENT REFUNDING AND SWAP TRANSACTION, 2007C PART IV, COLUMN A, LINE 6: PROCEEDS ARE HELD IN A YIELD RESTRICTED REFUNDING ESCROW THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2009 GA CURRENT REFUNDING & SWAP TERMINATION (2007B, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2010NC REFUND 1998C BONDS ISSUED FROM 7/15/1998 THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED 2010NJ TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11: OTHER SPENT PROCEEDS INCLUDES $10,415,583 WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 NJ CHE BONDS ISSUED BY THE NEW JERSEY HEALTH CARE FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF OUR LADY OF LOURDES MEDICAL CENTER FOR PRIOR TAX YEARS. 2010MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2010AB PA REFINANCE EXISTING DEBT (1998A, ISSUED 2/19/1998) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2010FL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIAL REFUNDING 1998 CITY OF TAMPA, FLORIDA THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2010 CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND PREVIOUS ISSUE (SERIES 1999F) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 CT CHE BONDS ISSUED BY THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY COMMUNITY HEALTH, INC. FOR PRIOR TAX YEARS. 2012A FL PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/25/2008 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2012NC REFUND 1998D BONDS ISSUED FROM 7/15/1998 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2012A PA REFINANCE EXISTING DEBT (1998A & 1998A-3, ISSUED 2/19/98) PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 04/19/2012 THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. "IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS." "IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8."
Schedule K (Form 990) 2013

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
 
80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
 
93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
 
35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI   X   X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 CHE   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCX0 06-27-2012 111,382,312 SEE PART VI - 2012A CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 87515EAW4 06-27-2012 30,191,951 SEE PART VI - 2012A FL CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEN1 06-27-2012 18,037,065 SEE PART VI - 2012A NC CHE   X   X   X
STATE OF CONNECTICUT HLTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774UW35 04-07-2010 19,216,533 SEE PART VI - 2010CT CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 875231JR4 04-07-2010 26,829,425 SEE PART VI - 2010FL CHE   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586ESB8 04-07-2010 16,901,948 SEE PART VI - 2010 MA CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEC5 04-07-2010 15,773,834 SEE PART VI - 2010NC CHE   X   X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FZR7 03-31-2010 131,123,284 SEE PART VI - 2010NJ CHE X     X   X
ST MARY HOSPITAL AUTHORITY
 
22-1913910 85230MCA0 04-07-2010 164,735,960 SEE PART VI - 2010AB CHE   X   X   X
DVLPMT AUTHORITY OF THE UNIFIED GOVT OF ATHENS-CLARKE
 
58-2613761 040759BB5 03-19-2009 16,036,560 SEE PART VI - 2009 GA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586EGR6 03-19-2009 30,099,842 SEE PART VI - 2009 MA   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SH3 03-19-2009 5,396,661 SEE PART VI - 2009 PA   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBM5 03-19-2009 33,804,223 SEE PART VI - 2009 PA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D X     X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FQE6 04-19-2007 101,395,000 SEE PART VI - 2007E X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MAR5 12-14-2004 13,848,093 SEE PART VI - 2004A   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBG8 12-14-2004 60,748,094 SEE PART VI - 2004B X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603PV5 12-14-2004 18,533,876 SEE PART VI - 2004C X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000 7,115,000 2,265,000 21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 1,254,863 5,564,252 1,697,620  
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 2,827,688 17,496,832 2,827,688 50,754,783
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . . 66,021     66,021
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073 6,718,900 10,415,583 25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . . 4,268,791   4,268,791  
13 Year of substantial completion . . . . . . . . . . . . 2012 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.210 % 0.210 % 0.210 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.020 % 0.020 % 0.020 % 0.020 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.020 % 0.020 % 0.020 % 0.020 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 1.920 %   1.920 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X       X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
MERRILL LYNCH
 
CAPITAL
CAPITAL
c Term of hedge . . . . . . . . . . 21.600000000000 21.600000000000 21.600000000000 21.600000000000
d Was the hedge superintegrated? . . . .   X   X   X   X
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . CITIGROUP FINANCIAL
 
AIG MATCHED FUNDING
 
AIG MATCHED FUNDING
 
 
 
c Term of GIC . . . . . . . . . . 12.400000000000 1.800000000000 1.800000000000  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 ISSUER NAME: DVLPMT. AUTHORITY OF THE UNIFIED GOVT. OF ATHENS-CLARKE DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2009 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/04/2010 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009
PART I, LINE (F) - 2013 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2013 MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MARYLAND. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN IDAHO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE.
PART I, LINE (F) -CONTINUED 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATION SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATION SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION
PART I, LINE (F) - CONTINUED 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED." PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL. 2004A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: REBATE COMPUTATION WAS PERFORMED: 11/09/2009 2004B PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED 03/04/2010 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2004C PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007E PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 PART III, LINE 8C: CERTAIN HOSPITAL ASSETS THAT WERE FINANCED AND REFINANCED WITH PROCEEDS OF THE SERIES 1998E BONDS, THE SERIES 2007E BONDS AND THE SERIES 2010 BONDS WERE SOLD TO A NON-501(C)(3) ORGANIZATION ON OR ABOUT OCTOBER 5, 2011, BUT THE HOSPITAL DID NOT REMEDIATE THESE ISSUES OF BONDS WITHIN THE PERMITTED TIMEFRAME. AS A RESULT, THE HOSPITAL AND CHE FILED A LETTER WITH THE IRS REQUESTING REMEDIATION AND A CLOSING AGREEMENT THROUGH THE IRS VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP). AS PART OF THE CLOSING AGREEMENT REQUESTED FROM THE IRS, THE HOSPITAL REDEEMED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1998E BONDS AND THE 2007E BONDS IN MAY 2013, AND DEFEASED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2010 BONDS IN JUNE 2013. ON APRIL 15, 2014, CHE AND THE HOSPITAL EXECUTED A FINAL CLOSING AGREEMENT WITH THE IRS PURSUANT TO ITS VCAP SUBMISSION THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2009PA (MONTCO) TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2007D, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2009PA (SMHA) PART II, COLUMN C, LINE11: AMOUNT INCLUDES $9,141,670 OF PROCEEDS WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2009 MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. CURRENT REFUNDING AND SWAP TRANSACTION, 2007C PART IV, COLUMN A, LINE 6: PROCEEDS ARE HELD IN A YIELD RESTRICTED REFUNDING ESCROW THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2009 GA CURRENT REFUNDING & SWAP TERMINATION (2007B, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2010NC REFUND 1998C BONDS ISSUED FROM 7/15/1998 THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED 2010NJ TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11: OTHER SPENT PROCEEDS INCLUDES $10,415,583 WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 NJ CHE BONDS ISSUED BY THE NEW JERSEY HEALTH CARE FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF OUR LADY OF LOURDES MEDICAL CENTER FOR PRIOR TAX YEARS. 2010MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2010AB PA REFINANCE EXISTING DEBT (1998A, ISSUED 2/19/1998) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2010FL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIAL REFUNDING 1998 CITY OF TAMPA, FLORIDA THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2010 CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND PREVIOUS ISSUE (SERIES 1999F) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 CT CHE BONDS ISSUED BY THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY COMMUNITY HEALTH, INC. FOR PRIOR TAX YEARS. 2012A FL PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/25/2008 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2012NC REFUND 1998D BONDS ISSUED FROM 7/15/1998 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2012A PA REFINANCE EXISTING DEBT (1998A & 1998A-3, ISSUED 2/19/98) PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 04/19/2012 THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. "IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS." "IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8."
Schedule K (Form 990) 2013

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
 
80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
 
93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
 
35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI   X   X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 CHE   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCX0 06-27-2012 111,382,312 SEE PART VI - 2012A CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 87515EAW4 06-27-2012 30,191,951 SEE PART VI - 2012A FL CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEN1 06-27-2012 18,037,065 SEE PART VI - 2012A NC CHE   X   X   X
STATE OF CONNECTICUT HLTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774UW35 04-07-2010 19,216,533 SEE PART VI - 2010CT CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 875231JR4 04-07-2010 26,829,425 SEE PART VI - 2010FL CHE   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586ESB8 04-07-2010 16,901,948 SEE PART VI - 2010 MA CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEC5 04-07-2010 15,773,834 SEE PART VI - 2010NC CHE   X   X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FZR7 03-31-2010 131,123,284 SEE PART VI - 2010NJ CHE X     X   X
ST MARY HOSPITAL AUTHORITY
 
22-1913910 85230MCA0 04-07-2010 164,735,960 SEE PART VI - 2010AB CHE   X   X   X
DVLPMT AUTHORITY OF THE UNIFIED GOVT OF ATHENS-CLARKE
 
58-2613761 040759BB5 03-19-2009 16,036,560 SEE PART VI - 2009 GA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586EGR6 03-19-2009 30,099,842 SEE PART VI - 2009 MA   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SH3 03-19-2009 5,396,661 SEE PART VI - 2009 PA   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBM5 03-19-2009 33,804,223 SEE PART VI - 2009 PA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D X     X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FQE6 04-19-2007 101,395,000 SEE PART VI - 2007E X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MAR5 12-14-2004 13,848,093 SEE PART VI - 2004A   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBG8 12-14-2004 60,748,094 SEE PART VI - 2004B X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603PV5 12-14-2004 18,533,876 SEE PART VI - 2004C X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000 7,115,000 2,265,000 21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 1,254,863 5,564,252 1,697,620  
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 2,827,688 17,496,832 2,827,688 50,754,783
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . . 66,021     66,021
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073 6,718,900 10,415,583 25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . . 4,268,791   4,268,791  
13 Year of substantial completion . . . . . . . . . . . . 2012 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.210 % 0.210 % 0.210 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.020 % 0.020 % 0.020 % 0.020 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.020 % 0.020 % 0.020 % 0.020 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 1.920 %   1.920 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X       X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
MERRILL LYNCH
 
CAPITAL
CAPITAL
c Term of hedge . . . . . . . . . . 21.600000000000 21.600000000000 21.600000000000 21.600000000000
d Was the hedge superintegrated? . . . .   X   X   X   X
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . CITIGROUP FINANCIAL
 
AIG MATCHED FUNDING
 
AIG MATCHED FUNDING
 
 
 
c Term of GIC . . . . . . . . . . 12.400000000000 1.800000000000 1.800000000000  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 ISSUER NAME: DVLPMT. AUTHORITY OF THE UNIFIED GOVT. OF ATHENS-CLARKE DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2009 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/04/2010 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009
PART I, LINE (F) - 2013 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2013 MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MARYLAND. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN IDAHO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE.
PART I, LINE (F) -CONTINUED 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATION SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATION SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION
PART I, LINE (F) - CONTINUED 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED." PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL. 2004A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: REBATE COMPUTATION WAS PERFORMED: 11/09/2009 2004B PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED 03/04/2010 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2004C PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007E PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 PART III, LINE 8C: CERTAIN HOSPITAL ASSETS THAT WERE FINANCED AND REFINANCED WITH PROCEEDS OF THE SERIES 1998E BONDS, THE SERIES 2007E BONDS AND THE SERIES 2010 BONDS WERE SOLD TO A NON-501(C)(3) ORGANIZATION ON OR ABOUT OCTOBER 5, 2011, BUT THE HOSPITAL DID NOT REMEDIATE THESE ISSUES OF BONDS WITHIN THE PERMITTED TIMEFRAME. AS A RESULT, THE HOSPITAL AND CHE FILED A LETTER WITH THE IRS REQUESTING REMEDIATION AND A CLOSING AGREEMENT THROUGH THE IRS VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP). AS PART OF THE CLOSING AGREEMENT REQUESTED FROM THE IRS, THE HOSPITAL REDEEMED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1998E BONDS AND THE 2007E BONDS IN MAY 2013, AND DEFEASED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2010 BONDS IN JUNE 2013. ON APRIL 15, 2014, CHE AND THE HOSPITAL EXECUTED A FINAL CLOSING AGREEMENT WITH THE IRS PURSUANT TO ITS VCAP SUBMISSION THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2009PA (MONTCO) TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2007D, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2009PA (SMHA) PART II, COLUMN C, LINE11: AMOUNT INCLUDES $9,141,670 OF PROCEEDS WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2009 MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. CURRENT REFUNDING AND SWAP TRANSACTION, 2007C PART IV, COLUMN A, LINE 6: PROCEEDS ARE HELD IN A YIELD RESTRICTED REFUNDING ESCROW THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2009 GA CURRENT REFUNDING & SWAP TERMINATION (2007B, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2010NC REFUND 1998C BONDS ISSUED FROM 7/15/1998 THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED 2010NJ TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11: OTHER SPENT PROCEEDS INCLUDES $10,415,583 WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 NJ CHE BONDS ISSUED BY THE NEW JERSEY HEALTH CARE FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF OUR LADY OF LOURDES MEDICAL CENTER FOR PRIOR TAX YEARS. 2010MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2010AB PA REFINANCE EXISTING DEBT (1998A, ISSUED 2/19/1998) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2010FL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIAL REFUNDING 1998 CITY OF TAMPA, FLORIDA THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2010 CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND PREVIOUS ISSUE (SERIES 1999F) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 CT CHE BONDS ISSUED BY THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY COMMUNITY HEALTH, INC. FOR PRIOR TAX YEARS. 2012A FL PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/25/2008 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2012NC REFUND 1998D BONDS ISSUED FROM 7/15/1998 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2012A PA REFINANCE EXISTING DEBT (1998A & 1998A-3, ISSUED 2/19/98) PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 04/19/2012 THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. "IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS." "IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8."
Schedule K (Form 990) 2013

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
 
80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
 
93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
 
35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI   X   X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 CHE   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCX0 06-27-2012 111,382,312 SEE PART VI - 2012A CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 87515EAW4 06-27-2012 30,191,951 SEE PART VI - 2012A FL CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEN1 06-27-2012 18,037,065 SEE PART VI - 2012A NC CHE   X   X   X
STATE OF CONNECTICUT HLTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774UW35 04-07-2010 19,216,533 SEE PART VI - 2010CT CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 875231JR4 04-07-2010 26,829,425 SEE PART VI - 2010FL CHE   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586ESB8 04-07-2010 16,901,948 SEE PART VI - 2010 MA CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEC5 04-07-2010 15,773,834 SEE PART VI - 2010NC CHE   X   X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FZR7 03-31-2010 131,123,284 SEE PART VI - 2010NJ CHE X     X   X
ST MARY HOSPITAL AUTHORITY
 
22-1913910 85230MCA0 04-07-2010 164,735,960 SEE PART VI - 2010AB CHE   X   X   X
DVLPMT AUTHORITY OF THE UNIFIED GOVT OF ATHENS-CLARKE
 
58-2613761 040759BB5 03-19-2009 16,036,560 SEE PART VI - 2009 GA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586EGR6 03-19-2009 30,099,842 SEE PART VI - 2009 MA   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SH3 03-19-2009 5,396,661 SEE PART VI - 2009 PA   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBM5 03-19-2009 33,804,223 SEE PART VI - 2009 PA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D X     X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FQE6 04-19-2007 101,395,000 SEE PART VI - 2007E X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MAR5 12-14-2004 13,848,093 SEE PART VI - 2004A   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBG8 12-14-2004 60,748,094 SEE PART VI - 2004B X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603PV5 12-14-2004 18,533,876 SEE PART VI - 2004C X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000 7,115,000 2,265,000 21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 1,254,863 5,564,252 1,697,620  
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 2,827,688 17,496,832 2,827,688 50,754,783
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . . 66,021     66,021
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073 6,718,900 10,415,583 25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . . 4,268,791   4,268,791  
13 Year of substantial completion . . . . . . . . . . . . 2012 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.210 % 0.210 % 0.210 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.020 % 0.020 % 0.020 % 0.020 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.020 % 0.020 % 0.020 % 0.020 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 1.920 %   1.920 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X       X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
MERRILL LYNCH
 
CAPITAL
CAPITAL
c Term of hedge . . . . . . . . . . 21.600000000000 21.600000000000 21.600000000000 21.600000000000
d Was the hedge superintegrated? . . . .   X   X   X   X
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . CITIGROUP FINANCIAL
 
AIG MATCHED FUNDING
 
AIG MATCHED FUNDING
 
 
 
c Term of GIC . . . . . . . . . . 12.400000000000 1.800000000000 1.800000000000  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 ISSUER NAME: DVLPMT. AUTHORITY OF THE UNIFIED GOVT. OF ATHENS-CLARKE DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2009 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/04/2010 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009
PART I, LINE (F) - 2013 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2013 MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MARYLAND. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN IDAHO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE.
PART I, LINE (F) -CONTINUED 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATION SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATION SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION
PART I, LINE (F) - CONTINUED 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED." PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL. 2004A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: REBATE COMPUTATION WAS PERFORMED: 11/09/2009 2004B PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED 03/04/2010 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2004C PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007E PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 PART III, LINE 8C: CERTAIN HOSPITAL ASSETS THAT WERE FINANCED AND REFINANCED WITH PROCEEDS OF THE SERIES 1998E BONDS, THE SERIES 2007E BONDS AND THE SERIES 2010 BONDS WERE SOLD TO A NON-501(C)(3) ORGANIZATION ON OR ABOUT OCTOBER 5, 2011, BUT THE HOSPITAL DID NOT REMEDIATE THESE ISSUES OF BONDS WITHIN THE PERMITTED TIMEFRAME. AS A RESULT, THE HOSPITAL AND CHE FILED A LETTER WITH THE IRS REQUESTING REMEDIATION AND A CLOSING AGREEMENT THROUGH THE IRS VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP). AS PART OF THE CLOSING AGREEMENT REQUESTED FROM THE IRS, THE HOSPITAL REDEEMED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1998E BONDS AND THE 2007E BONDS IN MAY 2013, AND DEFEASED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2010 BONDS IN JUNE 2013. ON APRIL 15, 2014, CHE AND THE HOSPITAL EXECUTED A FINAL CLOSING AGREEMENT WITH THE IRS PURSUANT TO ITS VCAP SUBMISSION THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2009PA (MONTCO) TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2007D, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2009PA (SMHA) PART II, COLUMN C, LINE11: AMOUNT INCLUDES $9,141,670 OF PROCEEDS WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2009 MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. CURRENT REFUNDING AND SWAP TRANSACTION, 2007C PART IV, COLUMN A, LINE 6: PROCEEDS ARE HELD IN A YIELD RESTRICTED REFUNDING ESCROW THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2009 GA CURRENT REFUNDING & SWAP TERMINATION (2007B, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2010NC REFUND 1998C BONDS ISSUED FROM 7/15/1998 THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED 2010NJ TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11: OTHER SPENT PROCEEDS INCLUDES $10,415,583 WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 NJ CHE BONDS ISSUED BY THE NEW JERSEY HEALTH CARE FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF OUR LADY OF LOURDES MEDICAL CENTER FOR PRIOR TAX YEARS. 2010MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2010AB PA REFINANCE EXISTING DEBT (1998A, ISSUED 2/19/1998) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2010FL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIAL REFUNDING 1998 CITY OF TAMPA, FLORIDA THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2010 CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND PREVIOUS ISSUE (SERIES 1999F) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 CT CHE BONDS ISSUED BY THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY COMMUNITY HEALTH, INC. FOR PRIOR TAX YEARS. 2012A FL PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/25/2008 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2012NC REFUND 1998D BONDS ISSUED FROM 7/15/1998 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2012A PA REFINANCE EXISTING DEBT (1998A & 1998A-3, ISSUED 2/19/98) PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 04/19/2012 THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. "IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS." "IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8."
Schedule K (Form 990) 2013

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
 
80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
 
93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
 
35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI   X   X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 CHE   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCX0 06-27-2012 111,382,312 SEE PART VI - 2012A CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 87515EAW4 06-27-2012 30,191,951 SEE PART VI - 2012A FL CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEN1 06-27-2012 18,037,065 SEE PART VI - 2012A NC CHE   X   X   X
STATE OF CONNECTICUT HLTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774UW35 04-07-2010 19,216,533 SEE PART VI - 2010CT CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 875231JR4 04-07-2010 26,829,425 SEE PART VI - 2010FL CHE   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586ESB8 04-07-2010 16,901,948 SEE PART VI - 2010 MA CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEC5 04-07-2010 15,773,834 SEE PART VI - 2010NC CHE   X   X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FZR7 03-31-2010 131,123,284 SEE PART VI - 2010NJ CHE X     X   X
ST MARY HOSPITAL AUTHORITY
 
22-1913910 85230MCA0 04-07-2010 164,735,960 SEE PART VI - 2010AB CHE   X   X   X
DVLPMT AUTHORITY OF THE UNIFIED GOVT OF ATHENS-CLARKE
 
58-2613761 040759BB5 03-19-2009 16,036,560 SEE PART VI - 2009 GA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586EGR6 03-19-2009 30,099,842 SEE PART VI - 2009 MA   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SH3 03-19-2009 5,396,661 SEE PART VI - 2009 PA   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBM5 03-19-2009 33,804,223 SEE PART VI - 2009 PA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D X     X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FQE6 04-19-2007 101,395,000 SEE PART VI - 2007E X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MAR5 12-14-2004 13,848,093 SEE PART VI - 2004A   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBG8 12-14-2004 60,748,094 SEE PART VI - 2004B X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603PV5 12-14-2004 18,533,876 SEE PART VI - 2004C X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000 7,115,000 2,265,000 21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 1,254,863 5,564,252 1,697,620  
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 2,827,688 17,496,832 2,827,688 50,754,783
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . . 66,021     66,021
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073 6,718,900 10,415,583 25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . . 4,268,791   4,268,791  
13 Year of substantial completion . . . . . . . . . . . . 2012 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.210 % 0.210 % 0.210 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.020 % 0.020 % 0.020 % 0.020 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.020 % 0.020 % 0.020 % 0.020 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 1.920 %   1.920 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X       X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
MERRILL LYNCH
 
CAPITAL
CAPITAL
c Term of hedge . . . . . . . . . . 21.600000000000 21.600000000000 21.600000000000 21.600000000000
d Was the hedge superintegrated? . . . .   X   X   X   X
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . CITIGROUP FINANCIAL
 
AIG MATCHED FUNDING
 
AIG MATCHED FUNDING
 
 
 
c Term of GIC . . . . . . . . . . 12.400000000000 1.800000000000 1.800000000000  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 ISSUER NAME: DVLPMT. AUTHORITY OF THE UNIFIED GOVT. OF ATHENS-CLARKE DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2009 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/04/2010 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009
PART I, LINE (F) - 2013 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2013 MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MARYLAND. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN IDAHO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE.
PART I, LINE (F) -CONTINUED 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATION SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATION SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION
PART I, LINE (F) - CONTINUED 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED." PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL. 2004A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: REBATE COMPUTATION WAS PERFORMED: 11/09/2009 2004B PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED 03/04/2010 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2004C PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007E PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 PART III, LINE 8C: CERTAIN HOSPITAL ASSETS THAT WERE FINANCED AND REFINANCED WITH PROCEEDS OF THE SERIES 1998E BONDS, THE SERIES 2007E BONDS AND THE SERIES 2010 BONDS WERE SOLD TO A NON-501(C)(3) ORGANIZATION ON OR ABOUT OCTOBER 5, 2011, BUT THE HOSPITAL DID NOT REMEDIATE THESE ISSUES OF BONDS WITHIN THE PERMITTED TIMEFRAME. AS A RESULT, THE HOSPITAL AND CHE FILED A LETTER WITH THE IRS REQUESTING REMEDIATION AND A CLOSING AGREEMENT THROUGH THE IRS VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP). AS PART OF THE CLOSING AGREEMENT REQUESTED FROM THE IRS, THE HOSPITAL REDEEMED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1998E BONDS AND THE 2007E BONDS IN MAY 2013, AND DEFEASED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2010 BONDS IN JUNE 2013. ON APRIL 15, 2014, CHE AND THE HOSPITAL EXECUTED A FINAL CLOSING AGREEMENT WITH THE IRS PURSUANT TO ITS VCAP SUBMISSION THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2009PA (MONTCO) TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2007D, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2009PA (SMHA) PART II, COLUMN C, LINE11: AMOUNT INCLUDES $9,141,670 OF PROCEEDS WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2009 MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. CURRENT REFUNDING AND SWAP TRANSACTION, 2007C PART IV, COLUMN A, LINE 6: PROCEEDS ARE HELD IN A YIELD RESTRICTED REFUNDING ESCROW THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2009 GA CURRENT REFUNDING & SWAP TERMINATION (2007B, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2010NC REFUND 1998C BONDS ISSUED FROM 7/15/1998 THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED 2010NJ TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11: OTHER SPENT PROCEEDS INCLUDES $10,415,583 WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 NJ CHE BONDS ISSUED BY THE NEW JERSEY HEALTH CARE FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF OUR LADY OF LOURDES MEDICAL CENTER FOR PRIOR TAX YEARS. 2010MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2010AB PA REFINANCE EXISTING DEBT (1998A, ISSUED 2/19/1998) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2010FL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIAL REFUNDING 1998 CITY OF TAMPA, FLORIDA THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2010 CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND PREVIOUS ISSUE (SERIES 1999F) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 CT CHE BONDS ISSUED BY THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY COMMUNITY HEALTH, INC. FOR PRIOR TAX YEARS. 2012A FL PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/25/2008 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2012NC REFUND 1998D BONDS ISSUED FROM 7/15/1998 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2012A PA REFINANCE EXISTING DEBT (1998A & 1998A-3, ISSUED 2/19/98) PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 04/19/2012 THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. "IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS." "IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8."
Schedule K (Form 990) 2013

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
 
80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
 
93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
 
35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI   X   X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 CHE   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCX0 06-27-2012 111,382,312 SEE PART VI - 2012A CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 87515EAW4 06-27-2012 30,191,951 SEE PART VI - 2012A FL CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEN1 06-27-2012 18,037,065 SEE PART VI - 2012A NC CHE   X   X   X
STATE OF CONNECTICUT HLTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774UW35 04-07-2010 19,216,533 SEE PART VI - 2010CT CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 875231JR4 04-07-2010 26,829,425 SEE PART VI - 2010FL CHE   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586ESB8 04-07-2010 16,901,948 SEE PART VI - 2010 MA CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEC5 04-07-2010 15,773,834 SEE PART VI - 2010NC CHE   X   X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FZR7 03-31-2010 131,123,284 SEE PART VI - 2010NJ CHE X     X   X
ST MARY HOSPITAL AUTHORITY
 
22-1913910 85230MCA0 04-07-2010 164,735,960 SEE PART VI - 2010AB CHE   X   X   X
DVLPMT AUTHORITY OF THE UNIFIED GOVT OF ATHENS-CLARKE
 
58-2613761 040759BB5 03-19-2009 16,036,560 SEE PART VI - 2009 GA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586EGR6 03-19-2009 30,099,842 SEE PART VI - 2009 MA   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SH3 03-19-2009 5,396,661 SEE PART VI - 2009 PA   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBM5 03-19-2009 33,804,223 SEE PART VI - 2009 PA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D X     X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FQE6 04-19-2007 101,395,000 SEE PART VI - 2007E X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MAR5 12-14-2004 13,848,093 SEE PART VI - 2004A   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBG8 12-14-2004 60,748,094 SEE PART VI - 2004B X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603PV5 12-14-2004 18,533,876 SEE PART VI - 2004C X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000 7,115,000 2,265,000 21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 1,254,863 5,564,252 1,697,620  
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 2,827,688 17,496,832 2,827,688 50,754,783
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . . 66,021     66,021
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073 6,718,900 10,415,583 25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . . 4,268,791   4,268,791  
13 Year of substantial completion . . . . . . . . . . . . 2012 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.210 % 0.210 % 0.210 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.020 % 0.020 % 0.020 % 0.020 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.020 % 0.020 % 0.020 % 0.020 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 1.920 %   1.920 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X       X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
MERRILL LYNCH
 
CAPITAL
CAPITAL
c Term of hedge . . . . . . . . . . 21.600000000000 21.600000000000 21.600000000000 21.600000000000
d Was the hedge superintegrated? . . . .   X   X   X   X
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . CITIGROUP FINANCIAL
 
AIG MATCHED FUNDING
 
AIG MATCHED FUNDING
 
 
 
c Term of GIC . . . . . . . . . . 12.400000000000 1.800000000000 1.800000000000  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 ISSUER NAME: DVLPMT. AUTHORITY OF THE UNIFIED GOVT. OF ATHENS-CLARKE DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2009 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/04/2010 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009
PART I, LINE (F) - 2013 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2013 MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MARYLAND. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN IDAHO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE.
PART I, LINE (F) -CONTINUED 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATION SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATION SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION
PART I, LINE (F) - CONTINUED 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED." PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL. 2004A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: REBATE COMPUTATION WAS PERFORMED: 11/09/2009 2004B PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED 03/04/2010 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2004C PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007E PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 PART III, LINE 8C: CERTAIN HOSPITAL ASSETS THAT WERE FINANCED AND REFINANCED WITH PROCEEDS OF THE SERIES 1998E BONDS, THE SERIES 2007E BONDS AND THE SERIES 2010 BONDS WERE SOLD TO A NON-501(C)(3) ORGANIZATION ON OR ABOUT OCTOBER 5, 2011, BUT THE HOSPITAL DID NOT REMEDIATE THESE ISSUES OF BONDS WITHIN THE PERMITTED TIMEFRAME. AS A RESULT, THE HOSPITAL AND CHE FILED A LETTER WITH THE IRS REQUESTING REMEDIATION AND A CLOSING AGREEMENT THROUGH THE IRS VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP). AS PART OF THE CLOSING AGREEMENT REQUESTED FROM THE IRS, THE HOSPITAL REDEEMED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1998E BONDS AND THE 2007E BONDS IN MAY 2013, AND DEFEASED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2010 BONDS IN JUNE 2013. ON APRIL 15, 2014, CHE AND THE HOSPITAL EXECUTED A FINAL CLOSING AGREEMENT WITH THE IRS PURSUANT TO ITS VCAP SUBMISSION THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2009PA (MONTCO) TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2007D, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2009PA (SMHA) PART II, COLUMN C, LINE11: AMOUNT INCLUDES $9,141,670 OF PROCEEDS WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2009 MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. CURRENT REFUNDING AND SWAP TRANSACTION, 2007C PART IV, COLUMN A, LINE 6: PROCEEDS ARE HELD IN A YIELD RESTRICTED REFUNDING ESCROW THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2009 GA CURRENT REFUNDING & SWAP TERMINATION (2007B, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2010NC REFUND 1998C BONDS ISSUED FROM 7/15/1998 THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED 2010NJ TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11: OTHER SPENT PROCEEDS INCLUDES $10,415,583 WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 NJ CHE BONDS ISSUED BY THE NEW JERSEY HEALTH CARE FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF OUR LADY OF LOURDES MEDICAL CENTER FOR PRIOR TAX YEARS. 2010MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2010AB PA REFINANCE EXISTING DEBT (1998A, ISSUED 2/19/1998) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2010FL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIAL REFUNDING 1998 CITY OF TAMPA, FLORIDA THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2010 CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND PREVIOUS ISSUE (SERIES 1999F) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 CT CHE BONDS ISSUED BY THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY COMMUNITY HEALTH, INC. FOR PRIOR TAX YEARS. 2012A FL PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/25/2008 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2012NC REFUND 1998D BONDS ISSUED FROM 7/15/1998 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2012A PA REFINANCE EXISTING DEBT (1998A & 1998A-3, ISSUED 2/19/98) PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 04/19/2012 THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. "IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS." "IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8."
Schedule K (Form 990) 2013

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
 
80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
 
93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
 
35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI   X   X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 CHE   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCX0 06-27-2012 111,382,312 SEE PART VI - 2012A CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 87515EAW4 06-27-2012 30,191,951 SEE PART VI - 2012A FL CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEN1 06-27-2012 18,037,065 SEE PART VI - 2012A NC CHE   X   X   X
STATE OF CONNECTICUT HLTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774UW35 04-07-2010 19,216,533 SEE PART VI - 2010CT CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 875231JR4 04-07-2010 26,829,425 SEE PART VI - 2010FL CHE   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586ESB8 04-07-2010 16,901,948 SEE PART VI - 2010 MA CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEC5 04-07-2010 15,773,834 SEE PART VI - 2010NC CHE   X   X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FZR7 03-31-2010 131,123,284 SEE PART VI - 2010NJ CHE X     X   X
ST MARY HOSPITAL AUTHORITY
 
22-1913910 85230MCA0 04-07-2010 164,735,960 SEE PART VI - 2010AB CHE   X   X   X
DVLPMT AUTHORITY OF THE UNIFIED GOVT OF ATHENS-CLARKE
 
58-2613761 040759BB5 03-19-2009 16,036,560 SEE PART VI - 2009 GA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586EGR6 03-19-2009 30,099,842 SEE PART VI - 2009 MA   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SH3 03-19-2009 5,396,661 SEE PART VI - 2009 PA   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBM5 03-19-2009 33,804,223 SEE PART VI - 2009 PA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D X     X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FQE6 04-19-2007 101,395,000 SEE PART VI - 2007E X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MAR5 12-14-2004 13,848,093 SEE PART VI - 2004A   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBG8 12-14-2004 60,748,094 SEE PART VI - 2004B X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603PV5 12-14-2004 18,533,876 SEE PART VI - 2004C X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000 7,115,000 2,265,000 21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 1,254,863 5,564,252 1,697,620  
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 2,827,688 17,496,832 2,827,688 50,754,783
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . . 66,021     66,021
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073 6,718,900 10,415,583 25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . . 4,268,791   4,268,791  
13 Year of substantial completion . . . . . . . . . . . . 2012 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.210 % 0.210 % 0.210 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.020 % 0.020 % 0.020 % 0.020 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.020 % 0.020 % 0.020 % 0.020 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 1.920 %   1.920 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X       X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
MERRILL LYNCH
 
CAPITAL
CAPITAL
c Term of hedge . . . . . . . . . . 21.600000000000 21.600000000000 21.600000000000 21.600000000000
d Was the hedge superintegrated? . . . .   X   X   X   X
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . CITIGROUP FINANCIAL
 
AIG MATCHED FUNDING
 
AIG MATCHED FUNDING
 
 
 
c Term of GIC . . . . . . . . . . 12.400000000000 1.800000000000 1.800000000000  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 ISSUER NAME: DVLPMT. AUTHORITY OF THE UNIFIED GOVT. OF ATHENS-CLARKE DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2009 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/04/2010 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009
PART I, LINE (F) - 2013 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2013 MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MARYLAND. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN IDAHO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE.
PART I, LINE (F) -CONTINUED 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATION SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATION SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION
PART I, LINE (F) - CONTINUED 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED." PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL. 2004A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: REBATE COMPUTATION WAS PERFORMED: 11/09/2009 2004B PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED 03/04/2010 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2004C PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007E PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 PART III, LINE 8C: CERTAIN HOSPITAL ASSETS THAT WERE FINANCED AND REFINANCED WITH PROCEEDS OF THE SERIES 1998E BONDS, THE SERIES 2007E BONDS AND THE SERIES 2010 BONDS WERE SOLD TO A NON-501(C)(3) ORGANIZATION ON OR ABOUT OCTOBER 5, 2011, BUT THE HOSPITAL DID NOT REMEDIATE THESE ISSUES OF BONDS WITHIN THE PERMITTED TIMEFRAME. AS A RESULT, THE HOSPITAL AND CHE FILED A LETTER WITH THE IRS REQUESTING REMEDIATION AND A CLOSING AGREEMENT THROUGH THE IRS VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP). AS PART OF THE CLOSING AGREEMENT REQUESTED FROM THE IRS, THE HOSPITAL REDEEMED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1998E BONDS AND THE 2007E BONDS IN MAY 2013, AND DEFEASED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2010 BONDS IN JUNE 2013. ON APRIL 15, 2014, CHE AND THE HOSPITAL EXECUTED A FINAL CLOSING AGREEMENT WITH THE IRS PURSUANT TO ITS VCAP SUBMISSION THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2009PA (MONTCO) TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2007D, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2009PA (SMHA) PART II, COLUMN C, LINE11: AMOUNT INCLUDES $9,141,670 OF PROCEEDS WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2009 MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. CURRENT REFUNDING AND SWAP TRANSACTION, 2007C PART IV, COLUMN A, LINE 6: PROCEEDS ARE HELD IN A YIELD RESTRICTED REFUNDING ESCROW THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2009 GA CURRENT REFUNDING & SWAP TERMINATION (2007B, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2010NC REFUND 1998C BONDS ISSUED FROM 7/15/1998 THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED 2010NJ TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11: OTHER SPENT PROCEEDS INCLUDES $10,415,583 WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 NJ CHE BONDS ISSUED BY THE NEW JERSEY HEALTH CARE FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF OUR LADY OF LOURDES MEDICAL CENTER FOR PRIOR TAX YEARS. 2010MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2010AB PA REFINANCE EXISTING DEBT (1998A, ISSUED 2/19/1998) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2010FL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIAL REFUNDING 1998 CITY OF TAMPA, FLORIDA THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2010 CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND PREVIOUS ISSUE (SERIES 1999F) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 CT CHE BONDS ISSUED BY THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY COMMUNITY HEALTH, INC. FOR PRIOR TAX YEARS. 2012A FL PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/25/2008 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2012NC REFUND 1998D BONDS ISSUED FROM 7/15/1998 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2012A PA REFINANCE EXISTING DEBT (1998A & 1998A-3, ISSUED 2/19/98) PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 04/19/2012 THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. "IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS." "IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8."
Schedule K (Form 990) 2013

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
 
80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
 
93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
 
35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI   X   X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 CHE   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCX0 06-27-2012 111,382,312 SEE PART VI - 2012A CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 87515EAW4 06-27-2012 30,191,951 SEE PART VI - 2012A FL CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEN1 06-27-2012 18,037,065 SEE PART VI - 2012A NC CHE   X   X   X
STATE OF CONNECTICUT HLTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774UW35 04-07-2010 19,216,533 SEE PART VI - 2010CT CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 875231JR4 04-07-2010 26,829,425 SEE PART VI - 2010FL CHE   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586ESB8 04-07-2010 16,901,948 SEE PART VI - 2010 MA CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEC5 04-07-2010 15,773,834 SEE PART VI - 2010NC CHE   X   X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FZR7 03-31-2010 131,123,284 SEE PART VI - 2010NJ CHE X     X   X
ST MARY HOSPITAL AUTHORITY
 
22-1913910 85230MCA0 04-07-2010 164,735,960 SEE PART VI - 2010AB CHE   X   X   X
DVLPMT AUTHORITY OF THE UNIFIED GOVT OF ATHENS-CLARKE
 
58-2613761 040759BB5 03-19-2009 16,036,560 SEE PART VI - 2009 GA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586EGR6 03-19-2009 30,099,842 SEE PART VI - 2009 MA   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SH3 03-19-2009 5,396,661 SEE PART VI - 2009 PA   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBM5 03-19-2009 33,804,223 SEE PART VI - 2009 PA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D X     X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FQE6 04-19-2007 101,395,000 SEE PART VI - 2007E X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MAR5 12-14-2004 13,848,093 SEE PART VI - 2004A   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBG8 12-14-2004 60,748,094 SEE PART VI - 2004B X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603PV5 12-14-2004 18,533,876 SEE PART VI - 2004C X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000 7,115,000 2,265,000 21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 1,254,863 5,564,252 1,697,620  
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 2,827,688 17,496,832 2,827,688 50,754,783
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . . 66,021     66,021
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073 6,718,900 10,415,583 25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . . 4,268,791   4,268,791  
13 Year of substantial completion . . . . . . . . . . . . 2012 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.210 % 0.210 % 0.210 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.020 % 0.020 % 0.020 % 0.020 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.020 % 0.020 % 0.020 % 0.020 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 1.920 %   1.920 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X       X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
MERRILL LYNCH
 
CAPITAL
CAPITAL
c Term of hedge . . . . . . . . . . 21.600000000000 21.600000000000 21.600000000000 21.600000000000
d Was the hedge superintegrated? . . . .   X   X   X   X
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . CITIGROUP FINANCIAL
 
AIG MATCHED FUNDING
 
AIG MATCHED FUNDING
 
 
 
c Term of GIC . . . . . . . . . . 12.400000000000 1.800000000000 1.800000000000  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 ISSUER NAME: DVLPMT. AUTHORITY OF THE UNIFIED GOVT. OF ATHENS-CLARKE DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2009 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/04/2010 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009
PART I, LINE (F) - 2013 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2013 MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MARYLAND. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN IDAHO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE.
PART I, LINE (F) -CONTINUED 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATION SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATION SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION
PART I, LINE (F) - CONTINUED 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED." PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL. 2004A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: REBATE COMPUTATION WAS PERFORMED: 11/09/2009 2004B PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED 03/04/2010 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2004C PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007E PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 PART III, LINE 8C: CERTAIN HOSPITAL ASSETS THAT WERE FINANCED AND REFINANCED WITH PROCEEDS OF THE SERIES 1998E BONDS, THE SERIES 2007E BONDS AND THE SERIES 2010 BONDS WERE SOLD TO A NON-501(C)(3) ORGANIZATION ON OR ABOUT OCTOBER 5, 2011, BUT THE HOSPITAL DID NOT REMEDIATE THESE ISSUES OF BONDS WITHIN THE PERMITTED TIMEFRAME. AS A RESULT, THE HOSPITAL AND CHE FILED A LETTER WITH THE IRS REQUESTING REMEDIATION AND A CLOSING AGREEMENT THROUGH THE IRS VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP). AS PART OF THE CLOSING AGREEMENT REQUESTED FROM THE IRS, THE HOSPITAL REDEEMED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1998E BONDS AND THE 2007E BONDS IN MAY 2013, AND DEFEASED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2010 BONDS IN JUNE 2013. ON APRIL 15, 2014, CHE AND THE HOSPITAL EXECUTED A FINAL CLOSING AGREEMENT WITH THE IRS PURSUANT TO ITS VCAP SUBMISSION THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2009PA (MONTCO) TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2007D, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2009PA (SMHA) PART II, COLUMN C, LINE11: AMOUNT INCLUDES $9,141,670 OF PROCEEDS WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2009 MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. CURRENT REFUNDING AND SWAP TRANSACTION, 2007C PART IV, COLUMN A, LINE 6: PROCEEDS ARE HELD IN A YIELD RESTRICTED REFUNDING ESCROW THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2009 GA CURRENT REFUNDING & SWAP TERMINATION (2007B, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2010NC REFUND 1998C BONDS ISSUED FROM 7/15/1998 THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED 2010NJ TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11: OTHER SPENT PROCEEDS INCLUDES $10,415,583 WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 NJ CHE BONDS ISSUED BY THE NEW JERSEY HEALTH CARE FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF OUR LADY OF LOURDES MEDICAL CENTER FOR PRIOR TAX YEARS. 2010MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2010AB PA REFINANCE EXISTING DEBT (1998A, ISSUED 2/19/1998) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2010FL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIAL REFUNDING 1998 CITY OF TAMPA, FLORIDA THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2010 CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND PREVIOUS ISSUE (SERIES 1999F) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 CT CHE BONDS ISSUED BY THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY COMMUNITY HEALTH, INC. FOR PRIOR TAX YEARS. 2012A FL PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/25/2008 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2012NC REFUND 1998D BONDS ISSUED FROM 7/15/1998 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2012A PA REFINANCE EXISTING DEBT (1998A & 1998A-3, ISSUED 2/19/98) PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 04/19/2012 THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. "IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS." "IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8."
Schedule K (Form 990) 2013

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
 
80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
 
93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
 
35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI   X   X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 CHE   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCX0 06-27-2012 111,382,312 SEE PART VI - 2012A CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 87515EAW4 06-27-2012 30,191,951 SEE PART VI - 2012A FL CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEN1 06-27-2012 18,037,065 SEE PART VI - 2012A NC CHE   X   X   X
STATE OF CONNECTICUT HLTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774UW35 04-07-2010 19,216,533 SEE PART VI - 2010CT CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 875231JR4 04-07-2010 26,829,425 SEE PART VI - 2010FL CHE   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586ESB8 04-07-2010 16,901,948 SEE PART VI - 2010 MA CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEC5 04-07-2010 15,773,834 SEE PART VI - 2010NC CHE   X   X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FZR7 03-31-2010 131,123,284 SEE PART VI - 2010NJ CHE X     X   X
ST MARY HOSPITAL AUTHORITY
 
22-1913910 85230MCA0 04-07-2010 164,735,960 SEE PART VI - 2010AB CHE   X   X   X
DVLPMT AUTHORITY OF THE UNIFIED GOVT OF ATHENS-CLARKE
 
58-2613761 040759BB5 03-19-2009 16,036,560 SEE PART VI - 2009 GA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586EGR6 03-19-2009 30,099,842 SEE PART VI - 2009 MA   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SH3 03-19-2009 5,396,661 SEE PART VI - 2009 PA   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBM5 03-19-2009 33,804,223 SEE PART VI - 2009 PA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D X     X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FQE6 04-19-2007 101,395,000 SEE PART VI - 2007E X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MAR5 12-14-2004 13,848,093 SEE PART VI - 2004A   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBG8 12-14-2004 60,748,094 SEE PART VI - 2004B X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603PV5 12-14-2004 18,533,876 SEE PART VI - 2004C X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000 7,115,000 2,265,000 21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 1,254,863 5,564,252 1,697,620  
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 2,827,688 17,496,832 2,827,688 50,754,783
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . . 66,021     66,021
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073 6,718,900 10,415,583 25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . . 4,268,791   4,268,791  
13 Year of substantial completion . . . . . . . . . . . . 2012 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.210 % 0.210 % 0.210 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.020 % 0.020 % 0.020 % 0.020 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.020 % 0.020 % 0.020 % 0.020 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 1.920 %   1.920 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X       X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
MERRILL LYNCH
 
CAPITAL
CAPITAL
c Term of hedge . . . . . . . . . . 21.600000000000 21.600000000000 21.600000000000 21.600000000000
d Was the hedge superintegrated? . . . .   X   X   X   X
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . CITIGROUP FINANCIAL
 
AIG MATCHED FUNDING
 
AIG MATCHED FUNDING
 
 
 
c Term of GIC . . . . . . . . . . 12.400000000000 1.800000000000 1.800000000000  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 ISSUER NAME: DVLPMT. AUTHORITY OF THE UNIFIED GOVT. OF ATHENS-CLARKE DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2009 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/04/2010 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009
PART I, LINE (F) - 2013 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2013 MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MARYLAND. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN IDAHO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE.
PART I, LINE (F) -CONTINUED 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATION SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATION SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION
PART I, LINE (F) - CONTINUED 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED." PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL. 2004A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: REBATE COMPUTATION WAS PERFORMED: 11/09/2009 2004B PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED 03/04/2010 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2004C PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007E PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 PART III, LINE 8C: CERTAIN HOSPITAL ASSETS THAT WERE FINANCED AND REFINANCED WITH PROCEEDS OF THE SERIES 1998E BONDS, THE SERIES 2007E BONDS AND THE SERIES 2010 BONDS WERE SOLD TO A NON-501(C)(3) ORGANIZATION ON OR ABOUT OCTOBER 5, 2011, BUT THE HOSPITAL DID NOT REMEDIATE THESE ISSUES OF BONDS WITHIN THE PERMITTED TIMEFRAME. AS A RESULT, THE HOSPITAL AND CHE FILED A LETTER WITH THE IRS REQUESTING REMEDIATION AND A CLOSING AGREEMENT THROUGH THE IRS VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP). AS PART OF THE CLOSING AGREEMENT REQUESTED FROM THE IRS, THE HOSPITAL REDEEMED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1998E BONDS AND THE 2007E BONDS IN MAY 2013, AND DEFEASED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2010 BONDS IN JUNE 2013. ON APRIL 15, 2014, CHE AND THE HOSPITAL EXECUTED A FINAL CLOSING AGREEMENT WITH THE IRS PURSUANT TO ITS VCAP SUBMISSION THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2009PA (MONTCO) TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2007D, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2009PA (SMHA) PART II, COLUMN C, LINE11: AMOUNT INCLUDES $9,141,670 OF PROCEEDS WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2009 MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. CURRENT REFUNDING AND SWAP TRANSACTION, 2007C PART IV, COLUMN A, LINE 6: PROCEEDS ARE HELD IN A YIELD RESTRICTED REFUNDING ESCROW THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2009 GA CURRENT REFUNDING & SWAP TERMINATION (2007B, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2010NC REFUND 1998C BONDS ISSUED FROM 7/15/1998 THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED 2010NJ TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11: OTHER SPENT PROCEEDS INCLUDES $10,415,583 WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 NJ CHE BONDS ISSUED BY THE NEW JERSEY HEALTH CARE FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF OUR LADY OF LOURDES MEDICAL CENTER FOR PRIOR TAX YEARS. 2010MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2010AB PA REFINANCE EXISTING DEBT (1998A, ISSUED 2/19/1998) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2010FL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIAL REFUNDING 1998 CITY OF TAMPA, FLORIDA THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2010 CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND PREVIOUS ISSUE (SERIES 1999F) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 CT CHE BONDS ISSUED BY THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY COMMUNITY HEALTH, INC. FOR PRIOR TAX YEARS. 2012A FL PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/25/2008 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2012NC REFUND 1998D BONDS ISSUED FROM 7/15/1998 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2012A PA REFINANCE EXISTING DEBT (1998A & 1998A-3, ISSUED 2/19/98) PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 04/19/2012 THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. "IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS." "IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8."
Schedule K (Form 990) 2013

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
 
80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
 
93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
 
35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI   X   X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 CHE   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCX0 06-27-2012 111,382,312 SEE PART VI - 2012A CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 87515EAW4 06-27-2012 30,191,951 SEE PART VI - 2012A FL CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEN1 06-27-2012 18,037,065 SEE PART VI - 2012A NC CHE   X   X   X
STATE OF CONNECTICUT HLTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774UW35 04-07-2010 19,216,533 SEE PART VI - 2010CT CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 875231JR4 04-07-2010 26,829,425 SEE PART VI - 2010FL CHE   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586ESB8 04-07-2010 16,901,948 SEE PART VI - 2010 MA CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEC5 04-07-2010 15,773,834 SEE PART VI - 2010NC CHE   X   X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FZR7 03-31-2010 131,123,284 SEE PART VI - 2010NJ CHE X     X   X
ST MARY HOSPITAL AUTHORITY
 
22-1913910 85230MCA0 04-07-2010 164,735,960 SEE PART VI - 2010AB CHE   X   X   X
DVLPMT AUTHORITY OF THE UNIFIED GOVT OF ATHENS-CLARKE
 
58-2613761 040759BB5 03-19-2009 16,036,560 SEE PART VI - 2009 GA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586EGR6 03-19-2009 30,099,842 SEE PART VI - 2009 MA   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SH3 03-19-2009 5,396,661 SEE PART VI - 2009 PA   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBM5 03-19-2009 33,804,223 SEE PART VI - 2009 PA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D X     X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FQE6 04-19-2007 101,395,000 SEE PART VI - 2007E X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MAR5 12-14-2004 13,848,093 SEE PART VI - 2004A   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBG8 12-14-2004 60,748,094 SEE PART VI - 2004B X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603PV5 12-14-2004 18,533,876 SEE PART VI - 2004C X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000 7,115,000 2,265,000 21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 1,254,863 5,564,252 1,697,620  
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 2,827,688 17,496,832 2,827,688 50,754,783
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . . 66,021     66,021
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073 6,718,900 10,415,583 25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . . 4,268,791   4,268,791  
13 Year of substantial completion . . . . . . . . . . . . 2012 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.210 % 0.210 % 0.210 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.020 % 0.020 % 0.020 % 0.020 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.020 % 0.020 % 0.020 % 0.020 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 1.920 %   1.920 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X       X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
MERRILL LYNCH
 
CAPITAL
CAPITAL
c Term of hedge . . . . . . . . . . 21.600000000000 21.600000000000 21.600000000000 21.600000000000
d Was the hedge superintegrated? . . . .   X   X   X   X
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . CITIGROUP FINANCIAL
 
AIG MATCHED FUNDING
 
AIG MATCHED FUNDING
 
 
 
c Term of GIC . . . . . . . . . . 12.400000000000 1.800000000000 1.800000000000  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 ISSUER NAME: DVLPMT. AUTHORITY OF THE UNIFIED GOVT. OF ATHENS-CLARKE DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2009 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/04/2010 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009
PART I, LINE (F) - 2013 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2013 MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MARYLAND. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN IDAHO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE.
PART I, LINE (F) -CONTINUED 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATION SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATION SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION
PART I, LINE (F) - CONTINUED 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED." PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL. 2004A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: REBATE COMPUTATION WAS PERFORMED: 11/09/2009 2004B PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED 03/04/2010 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2004C PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007E PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 PART III, LINE 8C: CERTAIN HOSPITAL ASSETS THAT WERE FINANCED AND REFINANCED WITH PROCEEDS OF THE SERIES 1998E BONDS, THE SERIES 2007E BONDS AND THE SERIES 2010 BONDS WERE SOLD TO A NON-501(C)(3) ORGANIZATION ON OR ABOUT OCTOBER 5, 2011, BUT THE HOSPITAL DID NOT REMEDIATE THESE ISSUES OF BONDS WITHIN THE PERMITTED TIMEFRAME. AS A RESULT, THE HOSPITAL AND CHE FILED A LETTER WITH THE IRS REQUESTING REMEDIATION AND A CLOSING AGREEMENT THROUGH THE IRS VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP). AS PART OF THE CLOSING AGREEMENT REQUESTED FROM THE IRS, THE HOSPITAL REDEEMED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1998E BONDS AND THE 2007E BONDS IN MAY 2013, AND DEFEASED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2010 BONDS IN JUNE 2013. ON APRIL 15, 2014, CHE AND THE HOSPITAL EXECUTED A FINAL CLOSING AGREEMENT WITH THE IRS PURSUANT TO ITS VCAP SUBMISSION THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2009PA (MONTCO) TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2007D, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2009PA (SMHA) PART II, COLUMN C, LINE11: AMOUNT INCLUDES $9,141,670 OF PROCEEDS WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2009 MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. CURRENT REFUNDING AND SWAP TRANSACTION, 2007C PART IV, COLUMN A, LINE 6: PROCEEDS ARE HELD IN A YIELD RESTRICTED REFUNDING ESCROW THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2009 GA CURRENT REFUNDING & SWAP TERMINATION (2007B, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2010NC REFUND 1998C BONDS ISSUED FROM 7/15/1998 THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED 2010NJ TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11: OTHER SPENT PROCEEDS INCLUDES $10,415,583 WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 NJ CHE BONDS ISSUED BY THE NEW JERSEY HEALTH CARE FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF OUR LADY OF LOURDES MEDICAL CENTER FOR PRIOR TAX YEARS. 2010MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2010AB PA REFINANCE EXISTING DEBT (1998A, ISSUED 2/19/1998) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2010FL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIAL REFUNDING 1998 CITY OF TAMPA, FLORIDA THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2010 CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND PREVIOUS ISSUE (SERIES 1999F) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 CT CHE BONDS ISSUED BY THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY COMMUNITY HEALTH, INC. FOR PRIOR TAX YEARS. 2012A FL PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/25/2008 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2012NC REFUND 1998D BONDS ISSUED FROM 7/15/1998 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2012A PA REFINANCE EXISTING DEBT (1998A & 1998A-3, ISSUED 2/19/98) PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 04/19/2012 THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. "IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS." "IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8."
Schedule K (Form 990) 2013

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
 
80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
 
93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
 
35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI   X   X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 CHE   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCX0 06-27-2012 111,382,312 SEE PART VI - 2012A CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 87515EAW4 06-27-2012 30,191,951 SEE PART VI - 2012A FL CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEN1 06-27-2012 18,037,065 SEE PART VI - 2012A NC CHE   X   X   X
STATE OF CONNECTICUT HLTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774UW35 04-07-2010 19,216,533 SEE PART VI - 2010CT CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 875231JR4 04-07-2010 26,829,425 SEE PART VI - 2010FL CHE   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586ESB8 04-07-2010 16,901,948 SEE PART VI - 2010 MA CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEC5 04-07-2010 15,773,834 SEE PART VI - 2010NC CHE   X   X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FZR7 03-31-2010 131,123,284 SEE PART VI - 2010NJ CHE X     X   X
ST MARY HOSPITAL AUTHORITY
 
22-1913910 85230MCA0 04-07-2010 164,735,960 SEE PART VI - 2010AB CHE   X   X   X
DVLPMT AUTHORITY OF THE UNIFIED GOVT OF ATHENS-CLARKE
 
58-2613761 040759BB5 03-19-2009 16,036,560 SEE PART VI - 2009 GA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586EGR6 03-19-2009 30,099,842 SEE PART VI - 2009 MA   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SH3 03-19-2009 5,396,661 SEE PART VI - 2009 PA   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBM5 03-19-2009 33,804,223 SEE PART VI - 2009 PA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D X     X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FQE6 04-19-2007 101,395,000 SEE PART VI - 2007E X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MAR5 12-14-2004 13,848,093 SEE PART VI - 2004A   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBG8 12-14-2004 60,748,094 SEE PART VI - 2004B X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603PV5 12-14-2004 18,533,876 SEE PART VI - 2004C X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000 7,115,000 2,265,000 21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 1,254,863 5,564,252 1,697,620  
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 2,827,688 17,496,832 2,827,688 50,754,783
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . . 66,021     66,021
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073 6,718,900 10,415,583 25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . . 4,268,791   4,268,791  
13 Year of substantial completion . . . . . . . . . . . . 2012 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.210 % 0.210 % 0.210 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.020 % 0.020 % 0.020 % 0.020 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.020 % 0.020 % 0.020 % 0.020 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 1.920 %   1.920 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X       X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
MERRILL LYNCH
 
CAPITAL
CAPITAL
c Term of hedge . . . . . . . . . . 21.600000000000 21.600000000000 21.600000000000 21.600000000000
d Was the hedge superintegrated? . . . .   X   X   X   X
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . CITIGROUP FINANCIAL
 
AIG MATCHED FUNDING
 
AIG MATCHED FUNDING
 
 
 
c Term of GIC . . . . . . . . . . 12.400000000000 1.800000000000 1.800000000000  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 ISSUER NAME: DVLPMT. AUTHORITY OF THE UNIFIED GOVT. OF ATHENS-CLARKE DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2009 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/04/2010 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009
PART I, LINE (F) - 2013 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2013 MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MARYLAND. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN IDAHO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE.
PART I, LINE (F) -CONTINUED 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATION SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATION SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION
PART I, LINE (F) - CONTINUED 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED." PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL. 2004A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: REBATE COMPUTATION WAS PERFORMED: 11/09/2009 2004B PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED 03/04/2010 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2004C PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007E PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 PART III, LINE 8C: CERTAIN HOSPITAL ASSETS THAT WERE FINANCED AND REFINANCED WITH PROCEEDS OF THE SERIES 1998E BONDS, THE SERIES 2007E BONDS AND THE SERIES 2010 BONDS WERE SOLD TO A NON-501(C)(3) ORGANIZATION ON OR ABOUT OCTOBER 5, 2011, BUT THE HOSPITAL DID NOT REMEDIATE THESE ISSUES OF BONDS WITHIN THE PERMITTED TIMEFRAME. AS A RESULT, THE HOSPITAL AND CHE FILED A LETTER WITH THE IRS REQUESTING REMEDIATION AND A CLOSING AGREEMENT THROUGH THE IRS VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP). AS PART OF THE CLOSING AGREEMENT REQUESTED FROM THE IRS, THE HOSPITAL REDEEMED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1998E BONDS AND THE 2007E BONDS IN MAY 2013, AND DEFEASED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2010 BONDS IN JUNE 2013. ON APRIL 15, 2014, CHE AND THE HOSPITAL EXECUTED A FINAL CLOSING AGREEMENT WITH THE IRS PURSUANT TO ITS VCAP SUBMISSION THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2009PA (MONTCO) TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2007D, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2009PA (SMHA) PART II, COLUMN C, LINE11: AMOUNT INCLUDES $9,141,670 OF PROCEEDS WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2009 MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. CURRENT REFUNDING AND SWAP TRANSACTION, 2007C PART IV, COLUMN A, LINE 6: PROCEEDS ARE HELD IN A YIELD RESTRICTED REFUNDING ESCROW THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2009 GA CURRENT REFUNDING & SWAP TERMINATION (2007B, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2010NC REFUND 1998C BONDS ISSUED FROM 7/15/1998 THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED 2010NJ TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11: OTHER SPENT PROCEEDS INCLUDES $10,415,583 WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 NJ CHE BONDS ISSUED BY THE NEW JERSEY HEALTH CARE FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF OUR LADY OF LOURDES MEDICAL CENTER FOR PRIOR TAX YEARS. 2010MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2010AB PA REFINANCE EXISTING DEBT (1998A, ISSUED 2/19/1998) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2010FL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIAL REFUNDING 1998 CITY OF TAMPA, FLORIDA THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2010 CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND PREVIOUS ISSUE (SERIES 1999F) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 CT CHE BONDS ISSUED BY THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY COMMUNITY HEALTH, INC. FOR PRIOR TAX YEARS. 2012A FL PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/25/2008 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2012NC REFUND 1998D BONDS ISSUED FROM 7/15/1998 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2012A PA REFINANCE EXISTING DEBT (1998A & 1998A-3, ISSUED 2/19/98) PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 04/19/2012 THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. "IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS." "IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8."
Schedule K (Form 990) 2013

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
 
80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
 
93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
 
35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI   X   X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 CHE   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCX0 06-27-2012 111,382,312 SEE PART VI - 2012A CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 87515EAW4 06-27-2012 30,191,951 SEE PART VI - 2012A FL CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEN1 06-27-2012 18,037,065 SEE PART VI - 2012A NC CHE   X   X   X
STATE OF CONNECTICUT HLTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774UW35 04-07-2010 19,216,533 SEE PART VI - 2010CT CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 875231JR4 04-07-2010 26,829,425 SEE PART VI - 2010FL CHE   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586ESB8 04-07-2010 16,901,948 SEE PART VI - 2010 MA CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEC5 04-07-2010 15,773,834 SEE PART VI - 2010NC CHE   X   X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FZR7 03-31-2010 131,123,284 SEE PART VI - 2010NJ CHE X     X   X
ST MARY HOSPITAL AUTHORITY
 
22-1913910 85230MCA0 04-07-2010 164,735,960 SEE PART VI - 2010AB CHE   X   X   X
DVLPMT AUTHORITY OF THE UNIFIED GOVT OF ATHENS-CLARKE
 
58-2613761 040759BB5 03-19-2009 16,036,560 SEE PART VI - 2009 GA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586EGR6 03-19-2009 30,099,842 SEE PART VI - 2009 MA   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SH3 03-19-2009 5,396,661 SEE PART VI - 2009 PA   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBM5 03-19-2009 33,804,223 SEE PART VI - 2009 PA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D X     X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FQE6 04-19-2007 101,395,000 SEE PART VI - 2007E X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MAR5 12-14-2004 13,848,093 SEE PART VI - 2004A   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBG8 12-14-2004 60,748,094 SEE PART VI - 2004B X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603PV5 12-14-2004 18,533,876 SEE PART VI - 2004C X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000 7,115,000 2,265,000 21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 1,254,863 5,564,252 1,697,620  
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 2,827,688 17,496,832 2,827,688 50,754,783
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . . 66,021     66,021
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073 6,718,900 10,415,583 25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . . 4,268,791   4,268,791  
13 Year of substantial completion . . . . . . . . . . . . 2012 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.210 % 0.210 % 0.210 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.020 % 0.020 % 0.020 % 0.020 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.020 % 0.020 % 0.020 % 0.020 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 1.920 %   1.920 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X       X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
MERRILL LYNCH
 
CAPITAL
CAPITAL
c Term of hedge . . . . . . . . . . 21.600000000000 21.600000000000 21.600000000000 21.600000000000
d Was the hedge superintegrated? . . . .   X   X   X   X
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . CITIGROUP FINANCIAL
 
AIG MATCHED FUNDING
 
AIG MATCHED FUNDING
 
 
 
c Term of GIC . . . . . . . . . . 12.400000000000 1.800000000000 1.800000000000  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 ISSUER NAME: DVLPMT. AUTHORITY OF THE UNIFIED GOVT. OF ATHENS-CLARKE DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2009 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/04/2010 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009
PART I, LINE (F) - 2013 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2013 MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MARYLAND. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN IDAHO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE.
PART I, LINE (F) -CONTINUED 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATION SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATION SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION
PART I, LINE (F) - CONTINUED 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED." PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL. 2004A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: REBATE COMPUTATION WAS PERFORMED: 11/09/2009 2004B PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED 03/04/2010 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2004C PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007E PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 PART III, LINE 8C: CERTAIN HOSPITAL ASSETS THAT WERE FINANCED AND REFINANCED WITH PROCEEDS OF THE SERIES 1998E BONDS, THE SERIES 2007E BONDS AND THE SERIES 2010 BONDS WERE SOLD TO A NON-501(C)(3) ORGANIZATION ON OR ABOUT OCTOBER 5, 2011, BUT THE HOSPITAL DID NOT REMEDIATE THESE ISSUES OF BONDS WITHIN THE PERMITTED TIMEFRAME. AS A RESULT, THE HOSPITAL AND CHE FILED A LETTER WITH THE IRS REQUESTING REMEDIATION AND A CLOSING AGREEMENT THROUGH THE IRS VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP). AS PART OF THE CLOSING AGREEMENT REQUESTED FROM THE IRS, THE HOSPITAL REDEEMED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1998E BONDS AND THE 2007E BONDS IN MAY 2013, AND DEFEASED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2010 BONDS IN JUNE 2013. ON APRIL 15, 2014, CHE AND THE HOSPITAL EXECUTED A FINAL CLOSING AGREEMENT WITH THE IRS PURSUANT TO ITS VCAP SUBMISSION THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2009PA (MONTCO) TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2007D, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2009PA (SMHA) PART II, COLUMN C, LINE11: AMOUNT INCLUDES $9,141,670 OF PROCEEDS WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2009 MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. CURRENT REFUNDING AND SWAP TRANSACTION, 2007C PART IV, COLUMN A, LINE 6: PROCEEDS ARE HELD IN A YIELD RESTRICTED REFUNDING ESCROW THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2009 GA CURRENT REFUNDING & SWAP TERMINATION (2007B, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2010NC REFUND 1998C BONDS ISSUED FROM 7/15/1998 THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED 2010NJ TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11: OTHER SPENT PROCEEDS INCLUDES $10,415,583 WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 NJ CHE BONDS ISSUED BY THE NEW JERSEY HEALTH CARE FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF OUR LADY OF LOURDES MEDICAL CENTER FOR PRIOR TAX YEARS. 2010MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2010AB PA REFINANCE EXISTING DEBT (1998A, ISSUED 2/19/1998) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2010FL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIAL REFUNDING 1998 CITY OF TAMPA, FLORIDA THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2010 CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND PREVIOUS ISSUE (SERIES 1999F) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 CT CHE BONDS ISSUED BY THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY COMMUNITY HEALTH, INC. FOR PRIOR TAX YEARS. 2012A FL PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/25/2008 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2012NC REFUND 1998D BONDS ISSUED FROM 7/15/1998 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2012A PA REFINANCE EXISTING DEBT (1998A & 1998A-3, ISSUED 2/19/98) PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 04/19/2012 THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. "IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS." "IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8."
Schedule K (Form 990) 2013

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MICHIGAN FINANCE AUTHORITY
 
80-0596186 59465HQL3 05-14-2012 115,827,509 SEE PART VI - 2012MI   X   X   X
B MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PDT5 10-20-2011 64,197,005 SEE PART VI - 2011MD   X   X   X
C MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PFX8 10-20-2011 320,953,704 SEE PART VI - 2011MI   X   X   X
D COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FJ8 10-20-2011 14,485,000 SEE PART VI - 2011OH   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
 
68-0164610 1307954K0 10-20-2011 106,300,000 SEE PART VI - 2011CA   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203HDQ2 10-20-2011 146,570,820 SEE PART VI - 2011IL   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCB5 10-28-2010 141,744,110 SEE PART VI - 2010A   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057F87 10-28-2010 66,966,076 SEE PART VI - 2010B   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FH2 10-28-2010 25,918,487 SEE PART VI - 2010C   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295VL0 10-28-2010 28,675,233 SEE PART VI - 2010D   X   X   X
HOSP FIN AUTH OF ONTARIO OREGON
 
93-6002229 683213AB8 10-28-2010 21,368,626 SEE PART VI - 2010E   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057VJ5 11-13-2009 240,002,153 SEE PART VI - 2009A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HMB9 11-13-2009 102,840,000 SEE PART VI - 2009BC   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKK1 11-13-2008 310,746,976 SEE PART VI - 2008A   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295TG4 11-13-2008 174,671,330 SEE PART VI - 2008B   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HEE2 11-09-2006 123,295,015 SEE PART VI - 2006A X     X   X
INDIANA HEALTH AND EDU FAC FIN AUTH
 
35-1611409 454795BR5 11-09-2006 11,457,083 SEE PART VI - 2006B X     X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FB5 11-17-2005 45,451,001 SEE PART VI - 2005A   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBW5 11-17-2005 43,811,312 SEE PART VI - 2005D   X   X   X
MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HBX3 11-17-2005 114,045,000 SEE PART VI - 2005EF   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI   X   X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 CHE   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCX0 06-27-2012 111,382,312 SEE PART VI - 2012A CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 87515EAW4 06-27-2012 30,191,951 SEE PART VI - 2012A FL CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEN1 06-27-2012 18,037,065 SEE PART VI - 2012A NC CHE   X   X   X
STATE OF CONNECTICUT HLTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774UW35 04-07-2010 19,216,533 SEE PART VI - 2010CT CHE   X   X   X
CITY OF TAMPA FLORIDA
 
59-1101138 875231JR4 04-07-2010 26,829,425 SEE PART VI - 2010FL CHE   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586ESB8 04-07-2010 16,901,948 SEE PART VI - 2010 MA CHE   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PEC5 04-07-2010 15,773,834 SEE PART VI - 2010NC CHE   X   X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FZR7 03-31-2010 131,123,284 SEE PART VI - 2010NJ CHE X     X   X
ST MARY HOSPITAL AUTHORITY
 
22-1913910 85230MCA0 04-07-2010 164,735,960 SEE PART VI - 2010AB CHE   X   X   X
DVLPMT AUTHORITY OF THE UNIFIED GOVT OF ATHENS-CLARKE
 
58-2613761 040759BB5 03-19-2009 16,036,560 SEE PART VI - 2009 GA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586EGR6 03-19-2009 30,099,842 SEE PART VI - 2009 MA   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SH3 03-19-2009 5,396,661 SEE PART VI - 2009 PA   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBM5 03-19-2009 33,804,223 SEE PART VI - 2009 PA   X   X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D X     X   X
NEW JERSEY HEALTH CARE FACILITIES FIN AUTHORITY
 
22-1987084 64579FQE6 04-19-2007 101,395,000 SEE PART VI - 2007E X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F X     X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MAR5 12-14-2004 13,848,093 SEE PART VI - 2004A   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBG8 12-14-2004 60,748,094 SEE PART VI - 2004B X     X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603PV5 12-14-2004 18,533,876 SEE PART VI - 2004C X     X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 375,000 25,535,000 5,995,000 4,440,000
2 Amount of bonds legally defeased . . . . . . . . . . . 21,830,000 7,115,000 2,265,000 21,830,000
3 Total proceeds of issue . . . . . . . . . . . . . . 115,827,509 64,197,064 320,959,366 14,485,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 1,254,863 5,564,252 1,697,620  
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 2,827,688 17,496,832 2,827,688 50,754,783
7 Issuance costs from proceeds . . . . . . . . . . . . 1,078,659 630,237 3,145,424 157,901
8 Credit enhancement from proceeds . . . . . . . . . . . 66,021     66,021
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 6,879,633 6,879,633 327,552,478 14,327,098
11 Other spent proceeds . . . . . . . . . . . . . . 25,582,073 6,718,900 10,415,583 25,582,073
12 Other unspent proceeds . . . . . . . . . . . . . . 4,268,791   4,268,791  
13 Year of substantial completion . . . . . . . . . . . . 2012 2011 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . . X     X X     X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.210 % 0.210 % 0.210 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.020 % 0.020 % 0.020 % 0.020 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.020 % 0.020 % 0.020 % 0.020 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 1.920 %   1.920 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X       X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
MERRILL LYNCH
 
CAPITAL
CAPITAL
c Term of hedge . . . . . . . . . . 21.600000000000 21.600000000000 21.600000000000 21.600000000000
d Was the hedge superintegrated? . . . .   X   X   X   X
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . CITIGROUP FINANCIAL
 
AIG MATCHED FUNDING
 
AIG MATCHED FUNDING
 
 
 
c Term of GIC . . . . . . . . . . 12.400000000000 1.800000000000 1.800000000000  
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X   X      
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: INDIANA HEALTH AND EDU. FAC. FIN. AUTH. DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2011 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: MICHIGAN STATE HOSP. FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/17/2010 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 ISSUER NAME: DVLPMT. AUTHORITY OF THE UNIFIED GOVT. OF ATHENS-CLARKE DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/31/2014 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FIN. AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/09/2009 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/04/2010 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009
PART I, LINE (F) - 2013 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2013 MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MARYLAND. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN IDAHO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2012 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2001. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 6 - AMOUNTS REPORTED AS "PROCEEDS IN REFUNDING ESCROWS" FOR CERTAIN BOND ISSUES INCLUDE AMOUNTS CONTRIBUTED TO THE REFUNDED ESCROW FROM GROSS PROCEEDS OF THE PRIOR BONDS OR OTHER EQUITY CONTRIBUTIONS BY THE ORGANIZATION. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN OHIO. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2011CA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000C. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 2011IL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011MI BONDS, 2011MD BONDS, 2011OH BONDS AND 2011CA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2010A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000A MICHIGAN AND 2000B IOWA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1998 CALIFORNIA AND 1998 INDIANA. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OHIO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN IDAHO. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE.
PART I, LINE (F) -CONTINUED 2010E TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES AND THE ACQUISITION OF HOSPITAL FACILITIES IN OREGON. THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART IV, LINE 1 - THE ORGANIZATION MADE A "YIELD REDUCTION PAYMENT", FILED WITH A FORM 8038-T EXECUTED BY THE MICHIGAN FINANCE AUTHORITY IN 2012 RELATING TO THE COMPOSITE ISSUE CONSISTING OF THE 2010A BONDS, 2010B BONDS, 2010C BONDS, 2010D BONDS AND 2010E BONDS. REBATE FOR THIS COMPOSITE ISSUE IS NOT YET DUE. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIALLY REFUND SERIES 1998 INDIANA AND 1998 CALIFORNIA OF PRIOR ISSUES, AND THE CHELSEA REFINANCING OF COMMERCIAL PAPER. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2009BC - CUSIP NUMBERS 59465HMB9 AND 59465HMC7 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2009A BONDS AND 2009BC BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2003A, 2003F, 2003G, 2004A, 2004D, 2004E, 2004F OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2002A, 2002B OF PRIOR ISSUES. THE 2008A BONDS AND 2008B BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2006A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART II, LINE 11 - DUE TO CIRCUMSTANCES THAT WERE NOT REASONABLY EXPECTED AS OF THE ISSUE DATE OF THE 2006AB BONDS, PROCEEDS OF THE 2006AB BONDS IN THE AMOUNT OF $31,946,774 WERE NOT SPENT AS OF JUNE 30, 2011. ON JUNE 30,2011, THE ORGANIZATION DEPOSITED SUCH PROCEEDS IN IRREVOCABLE YIELD RESTRICTED DEFEASANCE ESCROWS TO DEFEASE 2006AB BONDS IN THE AGGREGATE PRINCIPAL AMOUNT OF $27,235,000. THE 2006AB BONDS DEFEASED AND REDEEMED WERE SELECTED IN A MANNER CONSISTENT WITH THE REMEDIAL ACTION RULES OF TREASURY REGULATION SECTION 1.141-12 SUCH THAT THE DEFEASED BONDS WILL BE REDEEMED ON THEIR FIRST OPTIONAL REDEMPTION DATE. THE AMOUNTS IN THE DEFEASANCE ESCROW USED AND TO BE USED TO PAY PRINCIPAL ON THE 2006AB BONDS ARE NOT TREATED BY THE ORGANIZATION AS "PROCEEDS" OF THE 2006B FOR PURPOSES OF PRIVATE BUSINESS USE COMPLIANCE, AS REPORTED IN PART III. THESE AMOUNTS ARE, HOWEVER, REPORTED AS "PROCEEDS" IN PART I. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATION SECTIONS 1.141-12(E) AND 1.145-2. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038, AND ARE NOT REPORTED IN THIS SCHEDULE K. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2006B TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11 - SAME AS NOTE ABOVE IN 2006A PART I, COLUMN (G) AND PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE BONDS RELATED TO THE PROCEEDS WERE DEFEASED. PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 6, 2012 WAS PERFORMED FOR THE ORGANIZATION 2005A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1996 OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION 2005D TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 1999X OF PRIOR ISSUE. THE 2005A BONDS AND 2005D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY PART III - NOT REQUIRED TO COMPLETE PART III. REFUNDED DEBT PRIOR TO 12/31/2002 PART IV, LINE 1 - A REBATE COMPUTATION DATED JANUARY 19, 2011 WAS PERFORMED FOR THE ORGANIZATION
PART I, LINE (F) - CONTINUED 2005EF - CUSIP NUMBERS 59465HBX3 AND 59465HBY1 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2005E BONDS AND 2005F BONDS (TOGETHER WITH THE 2005B BONDS, 2005C BONDS, 2005G BONDS, 2005H BONDS AND 2005I BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. THE INFORMATION FOR THE 2005E BONDS AND 2005F BONDS IN PART I IS PROVIDED FOR THE 2005E BONDS AND 2005F BONDS ONLY; INFORMATION WITH RESPECT TO THE 2005B BONDS, 2005C BONDS, 2005F BONDS, 2005G BONDS AND 2005I BONDS, WHICH HAVE BEEN RETIRED, IS NOT PROVIDED." PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. PART IV, LINE 5 - TRINITY HEALTH HAD PLANNED TO ALLOCATE PROCEEDS TO QUALIFIED EXPENDITURES IN FY11 - QUALIFIED EXPENDITURES WERE NOT AVAILABLE SO THE MODEST PROCEEDS WERE MOVED BY THE TRUSTEE TO SERVICE THE BONDS, PER OPINION OF BOND COUNSEL. 2004A TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: REBATE COMPUTATION WAS PERFORMED: 11/09/2009 2004B PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED 03/04/2010 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2004C PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2004B PA CHE BONDS AND 2004C PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTION 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2007E PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 PART III, LINE 8C: CERTAIN HOSPITAL ASSETS THAT WERE FINANCED AND REFINANCED WITH PROCEEDS OF THE SERIES 1998E BONDS, THE SERIES 2007E BONDS AND THE SERIES 2010 BONDS WERE SOLD TO A NON-501(C)(3) ORGANIZATION ON OR ABOUT OCTOBER 5, 2011, BUT THE HOSPITAL DID NOT REMEDIATE THESE ISSUES OF BONDS WITHIN THE PERMITTED TIMEFRAME. AS A RESULT, THE HOSPITAL AND CHE FILED A LETTER WITH THE IRS REQUESTING REMEDIATION AND A CLOSING AGREEMENT THROUGH THE IRS VOLUNTARY CLOSING AGREEMENT PROGRAM (VCAP). AS PART OF THE CLOSING AGREEMENT REQUESTED FROM THE IRS, THE HOSPITAL REDEEMED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 1998E BONDS AND THE 2007E BONDS IN MAY 2013, AND DEFEASED A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE 2010 BONDS IN JUNE 2013. ON APRIL 15, 2014, CHE AND THE HOSPITAL EXECUTED A FINAL CLOSING AGREEMENT WITH THE IRS PURSUANT TO ITS VCAP SUBMISSION THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, 2007E NJ CHE BONDS AND 2007F PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2009PA (MONTCO) TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2007D, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2009PA (SMHA) PART II, COLUMN C, LINE11: AMOUNT INCLUDES $9,141,670 OF PROCEEDS WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2009 MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. CURRENT REFUNDING AND SWAP TRANSACTION, 2007C PART IV, COLUMN A, LINE 6: PROCEEDS ARE HELD IN A YIELD RESTRICTED REFUNDING ESCROW THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2009 GA CURRENT REFUNDING & SWAP TERMINATION (2007B, ISSUED 4/19/07) THE 2009 GA CHE BONDS, 2009 MA CHE BONDS, 2009 PA (MONTCO) CHE BONDS AND 2009 PA (SMHA) CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. 2010NC REFUND 1998C BONDS ISSUED FROM 7/15/1998 THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED 2010NJ TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART II, LINE 11: OTHER SPENT PROCEEDS INCLUDES $10,415,583 WHICH WERE USED TO TERMINATE AN INTEGRATED SWAP. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 NJ CHE BONDS ISSUED BY THE NEW JERSEY HEALTH CARE FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF OUR LADY OF LOURDES MEDICAL CENTER FOR PRIOR TAX YEARS. 2010MA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR PRIOR TAX YEARS. 2010AB PA REFINANCE EXISTING DEBT (1998A, ISSUED 2/19/1998) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2010FL TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PARTIAL REFUNDING 1998 CITY OF TAMPA, FLORIDA THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2010 CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND PREVIOUS ISSUE (SERIES 1999F) THE 2010 FL CHE BONDS, 2010 GA CHE BONDS, 2010 MA CHE BONDS, 2010 NC CHE BONDS, 2010 CT CHE BONDS, 2010A PA CHE BONDS AND 2010B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE INFORMATION REGARDING THE 2010 CT CHE BONDS ISSUED BY THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY COMMUNITY HEALTH, INC. FOR PRIOR TAX YEARS. 2012A FL PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 11/25/2008 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A FL CHE BONDS AND THE 2010 FL CHE BONDS ISSUED BY THE CITY OF TAMPA, FLORIDA HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF HOLY CROSS HOSPITAL, INC. FOR PRIOR TAX YEARS. 2012NC REFUND 1998D BONDS ISSUED FROM 7/15/1998 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A NC CHE BONDS , 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR PRIOR TAX YEARS. 2012A PA REFINANCE EXISTING DEBT (1998A & 1998A-3, ISSUED 2/19/98) PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 12/14/2009 THE 2012A FL CHE BONDS, 2012A NC CHE BONDS AND 2012A PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. INFORMATION REGARDING THE 2009 PA (MONTCO) CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2010B PA CHE BONDS AND 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. PART IV, LINE 2C: DATE THE RABATE COMPUTATION WAS PERFORMED: 04/19/2012 THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR PRIOR TAX YEARS.
PART I, LINE (F) - CONTINUED OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN "ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. "IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS." "IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8."
Schedule K (Form 990) 2013

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Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) HEALTHTRUST INC
 
LOUIS FIERENS, KEY EMPLOYEE OF TRINITY HLTH, IS A HEALTHTRUST BRD DIRECTOR 48,459,189 TRINITY HEALTH IS A MEMBER OF THE HEALTHTRUST PURCHASING GROUP. HEALTHTRUST NEGOTIATES PURCHASE CONTRACTS ON BEHALF OF TRINITY HEALTH. THE ABOVE AMOUNT PAID TO TRINITY HEALTH BY HEALTHTRUST REPRESENTS PAYMENTS OF REBATES AND PATRONAGE DIVIDENDS. THIS AMOUNT INCLUDES REBATES AND PATRONAGE DIVIDENDS THAT ARE PASSED ON TO MEMBERS OF THE TRINITY HEALTH SYSTEM. HEALTHTRUST DEDUCTS TRINITY HEALTH MEMBERSHIP FEES FROM THE GROSS PATRONAGE DIVIDENDS.   No
(2) HERITAGE HEALTHCARE INNOVATION FUND
 
LOUIS FIERENS, KEY EMP OF TRINITY HEALTH, IS A HERITAGE FUND BOARD DIRECTOR 3,668,850 TRINITY HEALTH INVESTED $3,668,850 IN THE HERITAGE HEALTHCARE INNOVATION FUND (HHIF) DURING CALENDAR 2013. HHIF INVESTS IN HEALTHCARE ORIENTED, NON-PUBLIC COMPANIES.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2013

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Return Reference Explanation
FORM 990, PART I, ITEM C DBA: TRINITY INFORMATION SERVICES HOLY CROSS SHARED SERVICES.
FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF TRINITY HEALTH CORPORATION DURING FISCAL YEAR 2014 WAS CHE TRINITY INC.
FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS OF TRINITY HEALTH CORPORATION ARE THE SAME INDIVIDUALS WHO SERVE AS DIRECTORS OF CHE TRINITY INC. EACH DIRECTOR IS TO HOLD OFFICE UNTIL HIS OR HER SUCCESSOR IS APPOINTED OR UNTIL HIS OR HER RESIGNATION OR REMOVAL.
FORM 990, PART VI, SECTION A, LINE 7B DURING FISCAL YEAR 2014, THE FOLLOWING POWERS WERE RESERVED TO CHE TRINITY INC. (THE SOLE MEMBER OF THC) AND WERE EXERCISABLE BY CHE TRINITY INC.'S BOARD OF DIRECTORS: - ADOPT OR AMEND THE ARTICLES OF INCORPORATION OF TRINITY HEALTH CORPORATION (THC) - ADOPT OR AMEND THE BYLAWS OF THC - APPROVE THE MERGER, CONSOLIDATION, LIQUIDATION, OR DISSOLUTION OF THC - APPROVE THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THC
FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING, THE FORM 990 FOR TRINITY HEALTH CORPORATION IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS ARE REVIEWED BY THE INTEGRITY AND AUDIT COMMITTEE. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C TRINITY HEALTH CORPORATION HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL INTERESTED PERSONS OF TRINITY HEALTH CORPORATION, WHICH INCLUDES DIRECTORS, PRINICPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH TRINITY HEALTH CORPORATION'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO TRINITY HEALTH CORPORATION OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF TRINITY HEALTH CORPORATION IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO TRINITY HEALTH CORPORATION. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF DIRECTORS OF TRINITY HEALTH CORPORATION ON A YEARLY BASIS.
FORM 990, PART VI, SECTION B, LINE 15 TRINITY HEALTH CORPORATION FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A REBUTTABLE PRESUMPTION OF REASONABLENESS WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF TRINITY HEALTH CORPORATION ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19 TRINITY HEALTH CORPORATION MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, TRINITY HEALTH CORPORATION'S WEBSITE INCLUDES COPIES OF THE MOST RECENTLY FILED SCHEDULE H FORMS FILED BY ALL OF ITS HOSPITAL SUBSIDIARIES. TRINITY HEALTH CORPORATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1: SR. SUZANNE BRENNAN, CSC, IS A MEMBER OF THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS. HAVING TAKEN A VOW OF POVERTY, SR. SUZANNE BRENNAN DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH CORPORATION. INSTEAD, A TOTAL OF $25,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS FOR SR. SUZANNE BRENNAN'S SERVICES. SR. MARY MOLLISON, CSA, IS A MEMBER OF THE CONGREGATION OF SAINT AGNES. HAVING TAKEN A VOW OF POVERTY, SR. MARY MOLLISON DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH CORPORATION. INSTEAD, A TOTAL OF $31,500 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF SAINT AGNES FOR SR. MARY MOLLISON'S SERVICES. SR. LINDA WERTHMAN, RSM, IS A MEMBER OF THE RELIGIOUS SISTERS OF MERCY. HAVING TAKEN A VOW OF POVERTY, SR. LINDA WERTHMAN DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH CORPORATION. INSTEAD, A TOTAL OF $25,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE RELIGIOUS SISTERS OF MERCY FOR SR. LINDA WERTHMAN'S SERVICES. SR. KATHLEEN POPKO, SP, IS A MEMBER OF THE SISTERS OF PROVIDENCE. HAVING TAKEN A VOW OF POVERTY, SR. KATHLEEN POPKO DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH CORPORATION. INSTEAD, A TOTAL OF $25,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE SISTERS OF PROVIDENCE FOR SR. KATHLEEN POPKO'S SERVICES. SR. BARBARA WHEELEY, RSM, IS A MEMBER OF THE RELIGIOUS SISTERS OF MERCY. HAVING TAKEN A VOW OF POVERTY, SR. BARBARA WHEELEY DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH CORPORATION. INSTEAD, A TOTAL OF $21,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE RELIGIOUS SISTERS OF MERCY FOR SR. BARBARA WHEELEY'S SERVICES.
FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM AFFILIATES 45,762,657. CHANGE IN DEFERRED RETIREMENT COST 30,740,439. POOLING OF INTEREST -4,629,858. OTHER TRANSACTIONS 6,191,167.
FORM 990, PART XII, LINE 2: THE AUDITED FINANCIAL STATEMENTS OF TRINITY HEALTH INCLUDE THE PARENT ORGANIZATION AND ITS SUBSIDIARIES. THE FY14 CONSOLIDATED FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


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Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP

245 STATE ST SE

GRAND RAPIDS,MI49503
27-2491974
HEALTHCARE SERVICES MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(2) ALLEGANY FRANCISCAN MINISTRIES INC

33920 US HIGHWAY 19 NORTH SUITE 269

PALM HARBOR,FL34684
58-1492325
MANAGEMENT & SUPPORT SERVICES FL 501(C)(3) LINE 11A, I CATHOLIC HEALTH EAST
 
Yes
 
(3) AMICARE HOSPICE SERVICES INC

20555 VICTOR PARKWAY

LIVONIA,MI48152
38-2949053
PROVIDE HOSPICE SERVICES MI 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(4) AUXILIARY OF HOLY ROSARY HOSPITAL

351 SW 9TH STREET

ONTARIO,OR97914
94-3059469
SUPPORTS SERVICES OF RELATED HOSPITAL OR 501(C)(3) LINE 9 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
 
Yes
 
(5) BAUM HARMON MERCY HOSPITAL

255 NORTH WELCH AVENUE

PRIMGHAR,IA51245
42-1500277
ACUTE/AMBULATORY HEALTHCARE SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(6) BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION

255 NORTH WELCH AVENUE

PRIMGHAR,IA51245
26-2973307
SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) LINE 11A, I BAUM HARMON MERCY HOSPITAL
 
Yes
 
(7) BEECHWOOD INC

2212 BURDETT AVE

TROY,NY12180
14-1651563
REAL ESTATE HOLDING NY 501(C)(2) N/A LTC (EDDY) INC
 
Yes
 
(8) BEVERWYCK INC

40 AUTUMN DRIVE

SLINGERLANDS,NY12159
14-1717028
INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(9) BRIGHTSIDE INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
04-2182395
BEHAVIORAL CARE MA 501(C)(3) LINE 9 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(10) CAPITAL REGION GERIATRIC CENTER INC

421 WEST COLUMBIA ST

COHOES,NY12047
14-1701597
NURSING HOME NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(11) CATHERINE MCAULEY HEALTH SERVICES CORP

PO BOX 995

ANN ARBOR,MI48106
38-2507173
FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES MI 501(C)(3) LINE 11B, II TRINITY HEALTH-MICHIGAN
 
Yes
 
(12) CATHOLIC HEALTH EAST

3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2929748
MANAGEMENT SERVICES PA 501(C)(3) LINE 11C, III-FI CHE TRINITY INC
 
Yes
 
(13) CHE TRINITY INC

20555 VICTOR PARKWAY

LIVONIA,MI48152
90-0931907
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 11B, II N/A
 
No
(14) COLUMBUS ACQUISITION CORP

111 CENTRAL AVENUE

NEWARK,NJ07102
26-2616342
INACTIVE ENTITY NJ 501(C)(3) LINE 9 SAINT MICHAELS MEDICAL CENTER
 
Yes
 
(15) COMMUNITY HEALTH PARTNERS OF SOUTH BEND

PO BOX 3998

SOUTH BEND,IN46619
26-3051440
HEALTHCARE SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(16) CONTINUING CARE MANAGEMENT SERVICES NETWORK

3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
35-2336834
MANAGEMENT & SUPPORT SERVICES PA 501(C)(3) LINE 11B, II CATHOLIC HEALTH EAST
 
Yes
 
(17) CRANBROOK HOSPICE CARE

1111 W LONG LAKE RD STE 102

TROY,MI48098
38-3320699
PROVIDE HOSPICE HEALTH SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(18) DILEY RIDGE MEDICAL CENTER

6150 EAST BROAD STREET

COLUMBUS,OH43213
34-2032340
HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(19) DUBUQUE MERCY HEALTH FOUNDATION INC

250 MERCY DRIVE

DUBUQUE,IA52001
26-2227941
SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) LINE 11A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(20) DYERSVILLE HEALTH FOUNDATION INC

1111 3RD STREET SW

DYERSVILLE,IA52040
20-5383271
SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) LINE 11A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(21) EAST NORRITON PHYSICIAN SERVICES

C/O ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2515999
PHYSICIAN SERVICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(22) EDDY LICENSED HOME CARE AGENCY

433 RIVER ST SUITE 3000

TROY,NY12180
14-1818568
HOME HEALTH NY 501(C)(3) LINE 3 LTC (EDDY) INC
 
Yes
 
(23) EMPIRE HOME INFUSION SERVICE INC

10 BLACKSMITH DRIVE

MALTA,NY12020
14-1795732
HOME CARE NY 501(C)(3) LINE 9 HOME AIDE SERVICE OF EASTERN NEW YORK INC
 
Yes
 
(24) FARREN CARE CENTER INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
04-2501711
LONG TERM CARE MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(25) FRANCISCAN ELDERCARE CORPORATION

PO BOX 2500

WILMINGTON,DE19805
22-3008680
ELDERCARE DE 501(C)(3) LINE 9 ST FRANCIS HOSPITAL
 
Yes
 
(26) GLEN EDDY INC

ONE GLEN EDDY DRIVE

NISKAYUNA,NY12309
14-1794150
INDEPENDENT/ASSISTED LIVING COMMUNITY NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(27) GLOBAL HEALTH MINISTRY

3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-3068656
HEALTH CARE PA 501(C)(3) LINE 7 CATHOLIC HEALTH EAST
 
Yes
 
(28) GOOD SAMARITAN HOSPITAL INC

5401 LAKE OCONEE PARKWAY

GREENSBORO,GA30642
26-1720984
HOSPITAL GA 501(C)(3) LINE 3 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(29) GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION

701 W NORTH AVE

MELROSE PARK,IL60160
36-3332852
SUPPORT THE SERVICES OF RELATED HOSPITAL IL 501(C)(3) LINE 9 GOTTLIEB MEMORIAL HOSPITAL
 
Yes
 
(30) GOTTLIEB MEMORIAL FOUNDATION

701 W NORTH AVE

MELROSE PARK,IL60160
74-3260011
SUPPORT THE SERVICES OF RELATED HOSPITAL IL 501(C)(3) LINE 11C, III-FI N/A
 
No
(31) GOTTLIEB MEMORIAL HOSPITAL

701 W NORTH AVE

MELROSE PARK,IL60160
36-2379649
HEALTHCARE SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM
 
Yes
 
(32) GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC

1000 MONROE AVENUE NW

GRAND RAPIDS,MI49503
23-7270669
MEDICAL EDUCATION TRAINING PROGRAMS MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(33) HACKLEY HOSPITAL

1700 CLINTON ST PO BOX 3302

MUSKEGON,MI49443
38-1358196
HEALTHCARE SERVICES MI 501(C)(3) LINE 3 MERCY HEALTH PARTNERS
 
Yes
 
(34) HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST

PO BOX 3302

MUSKEGON,MI49443
38-2299878
SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY MI 501(C)(3) LINE 11C, III-FI MERCY HEALTH PARTNERS
 
Yes
 
(35) HACKLEY LIFE COUNSELING

1352 TERRACE ST

MUSKEGON,MI49442
38-1386362
COUNSELING, EDUCATION, AND SUPPORT MI 501(C)(3) LINE 9 MERCY HEALTH PARTNERS
 
Yes
 
(36) HAWTHORNE RIDGE INC

30 COMMUNITY WAY

EAST GREENBUSH,NY12061
80-0102840
INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(37) HERITAGE HOUSE NURSING CENTER INC

2920 TIBBITS AVE

TROY,NY12180
14-1725101
NURSING HOME NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(38) HOLY CROSS CARENET INC

PO BOX 9184

FARMINGTON HILLS,MI48333
52-1945054
LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY MD 501(C)(3) LINE 9 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(39) HOLY CROSS HEALTH FOUNDATION INC

11801 TECH ROAD

SILVER SPRING,MD20904
20-8428450
CHARITABLE FUNDRAISING MD 501(C)(3) LINE 11A, I HOLY CROSS HEALTH INC
 
Yes
 
(40) HOLY CROSS HEALTH INC

1500 FOREST GLEN RD

SILVER SPRING,MD20910
52-0738041
HEALTHCARE SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(41) HOLY CROSS HOSPITAL INC

4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
59-0791028
HOSPITAL-HEALTHCARE PROVIDER FL 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(42) HOLY CROSS LONG TERM CARE INC

4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
65-0787320
MEDICAL SERVICES FL 501(C)(3) LINE 3 HOLY CROSS HOSPITAL INC
 
Yes
 
(43) HOLY CROSS MEDICAL CENTER

20555 VICTOR PARKWAY

LIVONIA,MI48152
95-1985442
HEALTHCARE SERVICES (FORMERLY) CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(44) HOLY CROSS MEDICAL PROPERTIES INC

4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
65-0666283
MEDICAL BUILDING REAL ESTATE MANAGEMENT FL 501(C)(2) N/A HOLY CROSS HOSPITAL INC
 
Yes
 
(45) HOME AIDE SERVICE OF EASTERN NEW YORK INC

433 RIVER ST SUITE 3000

TROY,NY12180
14-1514867
HOME CARE NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(46) HOSPICE OF NORTH IOWA

232 SECOND STREET SE

MASON CITY,IA50401
42-1173708
HOSPICE HEALTH CARE SERVICES IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(47) HOSPICE OF SIOUXLAND

4300 HAMILTON BLVD

SIOUX CITY,IA51104
38-3320710
HOSPICE SERVICES IA 501(C)(3) LINE 11A, I N/A
 
No
(48) HOSPICE OF WASHTENAW II

806 AIRPORT BLVD

ANN ARBOR,MI48108
38-3320707
HOSPICE HEALTH CARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(49) IHA HEALTH SERVICES CORPORATION

24 FRANK LLOYD WRIGHT DR LOBBY J

ANN ARBOR,MI48106
38-3316559
PROVIDES OFFICE-BASED MEDICAL CARE MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(50) INTRACOASTAL HEALTH SYSTEMS INC

3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
65-0556413
MANAGEMENT & SUPPORT SERVICES PA 501(C)(3) LINE 11A, I CATHOLIC HEALTH EAST
 
Yes
 
(51) JAMES A EDDY MEMORIAL GERIATRIC CENTER INC

2256 BURDETT AVE

TROY,NY12180
22-2570478
NURSING HOME NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(52) LAKESHORE COMMUNITY HOSPITAL INC

72 S STATE STREET

SHELBY,MI49455
38-2549295
ACUTE HEALTHCARE SERVICES MI 501(C)(3) LINE 3 MERCY HEALTH PARTNERS
 
Yes
 
(53) LANGHORNE MRI INC

1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2519529
INACTIVE ENTITY PA 501(C)(3) LINE 9 ST MARY MEDICAL CENTER
 
Yes
 
(54) LANGHORNE PHYSICIAN SERVICES INC

1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2571699
PHYSICIAN SERVICES PA 501(C)(3) LINE 9 ST MARY MEDICAL CENTER
 
Yes
 
(55) LIFE AT LOURDES INC

2475 MCCLELLAN AVENUE

PENNSAUKEN,NJ08109
26-1854750
ELDERLY CARE NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(56) LIFE AT ST FRANCIS HEALTHCARE INC

7TH CLAYTON STREETS

WILMINGTON,DE19805
45-2569214
ELDERLY CARE DE 501(C)(3) LINE 9 ST FRANCIS HOSPITAL
 
Yes
 
(57) LIFE ST FRANCIS CORPORATION

601 HAMILTON AVENUE

TRENTON,NJ08629
22-2797282
HEALTH SERVICES NJ 501(C)(3) LINE 11A, I ST FRANCIS MEDICAL CENTER TRENTON NJ
 
Yes
 
(58) LIFE ST JOSEPH OF THE PINES INC

100 GOSSMAN DRIVE SUITE B

SOUTHERN PINES,NC28387
27-2159847
HEALTHCARE SERVICES NC 501(C)(3) LINE 3 ST JOSEPH'S OF THE PINES INC
 
Yes
 
(59) LIFE ST MARY

1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
26-2976184
ELDERLY CARE PA 501(C)(3) LINE 9 ST MARY MEDICAL CENTER
 
Yes
 
(60) LOURDES ANCILLARY SERVICES

1600 HADDON AVENUE

CAMDEN,NJ08103
22-2568525
SUPPORTING ORGANIZATION NJ 501(C)(3) LINE 11B, II OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(61) LOURDES CARDIOLOGY SERVICES PC

1600 HADDON AVENUE

CAMDEN,NJ08103
27-4357794
CARDIOLOGY SERVICES NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(62) LOURDES DIALYSIS AT INNOVA INC

3716 CHURCH ROAD

MT LAUREL,NJ08054
26-3237625
HOSPITAL NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(63) LOURDES MEDICAL CENTER OF BURLINGTON COUNTY

218 SUNSET ROAD

WILLINGBORO,NJ08046
22-3612265
HOSPITAL NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(64) LOYOLA UNIVERSITY HEALTH SYSTEM

2160 SOUTH FIRST AVENUE

MAYWOOD,IL60153
36-3342448
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 11B, II TRINITY HEALTH CORPORATION
 
Yes
 
(65) LOYOLA UNIVERSITY MEDICAL CENTER

2160 SOUTH FIRST AVENUE

MAYWOOD,IL60153
36-4015560
HEALTHCARE SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM
 
Yes
 
(66) LTC (EDDY) INC

2212 BURDETT AVE

TROY,NY12180
22-2564710
ELDERLY HEALTH/HOUSING SUPPORTING ORG NY 501(C)(3) LINE 11B, II NORTHEAST HEALTH INC
 
Yes
 
(67) MARIAN COMMUNITY HOSPITAL

3805 WEST CHESTER PIKE NO 100

NEWTOWN SQUARE,PA19073
24-0711230
HOSPITAL PA 501(C)(3) LINE 9 MAXIS HEALTH SYSTEM
 
Yes
 
(68) MARIAN COMMUNITY HOSPITAL AUXILIARY

3805 WEST CHESTER PIKE NO 100

NEWTOWN SQUARE,PA19073
25-1874733
FUNDRAISING PA 501(C)(3) LINE 11B, II MAXIS FOUNDATION
 
Yes
 
(69) MARIAN HOME HEALTHCARE

801 5TH STREET

SIOUX CITY,IA51101
38-3320705
PROVIDE HOME HEALTH CARE SERVICES IA 501(C)(3) LINE 11A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(70) MARYCREST HEIGHTS

PO BOX 9184

FARMINGTON HILLS,MI48333
27-0291722
PROVIDES HOUSING FOR ELDERLY INDIVIDUALS MI 501(C)(3) LINE 11A, I TRINITY CONTINUING CARE SERVICES
 
Yes
 
(71) MAXIS FOUNDATION

3805 WEST CHESTER PIKE NO 100

NEWTOWN SQUARE,PA19073
23-2330090
FUNDRAISING PA 501(C)(3) LINE 11B, II MAXIS HEALTH SYSTEM
 
Yes
 
(72) MAXIS HEALTH SYSTEM

3805 WEST CHESTER PIKE NO 100

NEWTOWN SQUARE,PA19073
91-1940902
HEALTH CARE SYSTEM PA 501(C)(3) LINE 11B, II CATHOLIC HEALTH EAST
 
Yes
 
(73) MAXIS MEDICAL SERVICES

3805 WEST CHESTER PIKE NO 100

NEWTOWN SQUARE,PA19073
23-2577185
PHYSICIAN PRACTICES PA 501(C)(3) LINE 9 MAXIS HEALTH SYSTEM
 
Yes
 
(74) MCAULEY CENTER INC

275 STEELE ROAD

WEST HARTFORD,CT06117
06-1058086
INDEPENDENT LIVING CT 501(C)(3) LINE 9 MERCY COMMUNITY HEALTH INC
 
Yes
 
(75) MCAULEY CLINIC CORPORATION

PO BOX 992

ANN ARBOR,MI48106
38-2561013
HEALTHCARE SERVICES (FORMERLY) MI 501(C)(3) LINE 3 CATHERINE MCAULEY HEALTH SERVICES CORP
 
Yes
 
(76) MCAULEY MINISTRIES

3333 FIFTH AVENUE

PITTSBURGH,PA15213
94-3436142
MANAGEMENT & SUPPORT SERVICES PA 501(C)(3) LINE 11A, I PITTSBURGH MERCY HEALTH SYSTEM
 
Yes
 
(77) MEMORIAL HOSPITAL ALBANY NY

600 NORTHERN BLVD

ALBANY,NY12204
14-1338457
GENERAL HOSPITAL NY 501(C)(3) LINE 3 NORTHEAST HEALTH INC
 
Yes
 
(78) MERCY AMICARE HOME HEALTHCARE OAKLAND

1111 W LONG LAKE RD STE 102

TROY,MI48098
38-3320698
PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(79) MERCY AMICARE HOME HEALTHCARE PORT HURON

505 HURON AVENUE

PORT HURON,MI48060
38-3320701
PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(80) MERCY CARE FOUNDATION

424 DECATUR STREET

ATLANTA,GA30312
58-1448522
FUNDRAISING GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(81) MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-1352191
ACUTE CARE HOSPITAL PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(82) MERCY COMMUNITY HEALTH INC

2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-1492707
MANAGEMENT & SUPPORT SERVICES CT 501(C)(3) LINE 11B, II CATHOLIC HEALTH EAST
 
Yes
 
(83) MERCY COMMUNITY HOMECARE SERVICES

2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-1488137
IN HOME HEALTH CARE CT 501(C)(3) LINE 9 MERCY COMMUNITY HEALTH INC
 
Yes
 
(84) MERCY FAMILY SUPPORT

1001 BALTIMORE PIKE SUITE 310

SPRINGFIELD,PA19064
23-2325059
HOME HEALTH PA 501(C)(3) LINE 9 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(85) MERCY FOUNDATION INC

2525 SOUTH MICHIGAN AVENUE

CHICAGO,IL60616
36-3227350
SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEM IL 501(C)(3) LINE 11A, I MERCY HEALTH SYSTEM OF CHICAGO
 
Yes
 
(86) MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE

684 HARVEY STREET

MUSKEGON,MI49442
38-3321856
PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(87) MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA

C/O ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2829864
FUNDRAISING PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(88) MERCY HEALTH NETWORK

1111 6TH AVENUE

DES MOINES,IA50314
42-1478417
HEALTHCARE MANAGEMENT DE 501(C)(3) LINE 11A, I N/A
 
No
(89) MERCY HEALTH PARTNERS

1415 LEAHY STREET

MUSKEGON,MI49442
38-2589966
HEALTHCARE SYSTEM SUPPORT MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(90) MERCY HEALTH PLAN

C/O ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
22-2483605
HEALTH PLANS PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(91) MERCY HEALTH SERVICES - IOWA CORP

1000 4TH STREET SW

MASON CITY,IA50401
31-1373080
HEALTHCARE SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(92) MERCY HEALTH SYSTEM OF CHICAGO

2525 SOUTH MICHIGAN AVENUE

CHICAGO,IL60616
36-3163327
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION
 
Yes
 
(93) MERCY HEALTH SYSTEM OF CHICAGO LIABILITY SELF INSURANCE TRUST

BK OF AMERICA 231 S LASALLE

CHICAGO,IL60697
91-2092113
SELF INSURANCE FOR PROFESSIONAL AND COMPREHENSIVE LIABILITY IL 501(C)(3) LINE 11C, III-FI MERCY HEALTH SYSTEM OF CHICAGO
 
Yes
 
(94) MERCY HEALTH SYSTEM OF MAINE

144 STATE STREET

PORTLAND,ME04101
01-0484074
MANAGEMENT & SUPPORT SERVICES ME 501(C)(3) LINE 11C, III-FI CATHOLIC HEALTH EAST
 
Yes
 
(95) MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2212638
MANAGEMENT & SUPPORT SERVICES PA 501(C)(3) LINE 11B, II CATHOLIC HEALTH EAST
 
Yes
 
(96) MERCY HEALTHCARE CENTER

114 WAWBEEK AVENUE

TUPPER LAKE,NY12986
15-0532211
IN DISSOLUTION NY 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(97) MERCY HEALTHCARE FOUNDATION-CLINTON

1410 N 4TH ST

CLINTON,IA52732
42-1316126
FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICES IA 501(C)(3) LINE 11C, III-FI N/A
 
No
(98) MERCY HOME HEALTH

1001 BALTIMORE PIKE SUITE 310

SPRINGFIELD,PA19064
23-1352099
HOME HEALTH PA 501(C)(3) LINE 9 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(99) MERCY HOME HEALTH SERVICES

1001 BALTIMORE PIKE SUITE 310

SPRINGFIELD,PA19064
23-2325058
HOME HEALTH PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(100) MERCY HOSPITAL

144 STATE STREET

PORTLAND,ME04101
01-0211534
HOSPITAL ME 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF MAINE
 
Yes
 
(101) MERCY HOSPITAL AND MEDICAL CENTER

2525 SOUTH MICHIGAN AVENUE

CHICAGO,IL60616
36-2170152
HEALTHCARE SERVICES IL 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF CHICAGO
 
Yes
 
(102) MERCY HOSPITAL CADILLAC FOUNDATION

400 HOBART

CADILLAC,MI49601
20-3357131
SUPPORT THE SERVICES OF RELATED HOSPITAL MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(103) MERCY HOSPITAL GIFT SHOP

2601 ELECTRIC AVE

PORT HURON,MI48060
38-1630480
VOLUNTEER SERVICE AUXILIARY MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(104) MERCY HOSPITAL INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
04-3398280
ACUTE CARE MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(105) MERCY HOSPITAL INC

4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
59-0791034
HOSPITAL FL 501(C)(3) LINE 11C, III-FI CATHOLIC HEALTH EAST
 
Yes
 
(106) MERCY JEANNETTE HOSPITAL

3805 WEST CHESTER PIKE

NEWTOWN SQUARE,PA19073
25-1310602
INACTIVE ENTITY PA 501(C)(3) LINE 9 PITTSBURGH MERCY HEALTH SYSTEM
 
Yes
 
(107) MERCY LIFE CENTER CORPORATION

1200 REEDSDALE STREET

PITTSBURGH,PA15233
25-1604115
COMMUNITY TREATMENT PA 501(C)(3) LINE 9 PITTSBURGH MERCY HEALTH SYSTEM
 
Yes
 
(108) MERCY LIFE OF ALABAMA

PO BOX 1090 101 VILLA DRIVE

DAPHNE,AL36526
27-3163002
HOSPITAL AL 501(C)(3) LINE 3 MERCY MEDICAL CORPORATION
 
Yes
 
(109) MERCY LIFE INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
45-3086711
ACUTE CARE MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(110) MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2627944
PHYSICIAN PRACTICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(111) MERCY MEDICAL CENTER - CLINTON INC

1410 NORTH 4TH ST

CLINTON,IA52732
42-1336618
TO PROVIDE QUALITY HEALTH CARE DE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(112) MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION

801 5TH STREET

SIOUX CITY,IA51102
14-1880022
SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(113) MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA

1000 4TH STREET SW

MASON CITY,IA50401
42-1229151
SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) LINE 11C, III-FI N/A
 
No
(114) MERCY MEDICAL CORPORATION

PO BOX 1090 101 VILLA DRIVE

DAPHNE,AL36526
63-6002215
HOSPITAL AL 501(C)(3) LINE 9 CATHOLIC HEALTH EAST
 
Yes
 
(115) MERCY MEDICAL DEVELOPMENT INC

4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
59-2789194
OUTPATIENT SERVICES FL 501(C)(3) LINE 9 MERCY HOSPITAL INC
 
Yes
 
(116) MERCY MISSION SERVICES INC

3661 SOUTH MIAMI AVENUE

MIAMI,FL33133
65-0435764
HEALTH CARE FL 501(C)(3) LINE 3 MERCY HOSPITAL INC
 
Yes
 
(117) MERCY NORTH HOMECARE AND HOSPICE

7985 MACKINAW TRAIL

CADILLAC,MI49601
38-3313897
HOME HEALTH AND HOSPICE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(118) MERCY ONCOLOGY SERVICES INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
45-4884805
ONCOLOGY MEDICAL SERVICES MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(119) MERCY OUTPATIENT SERVICES INC DBA SISTER EMMANUEL HOSPITAL

4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
51-0461511
HOSPITAL FL 501(C)(3) LINE 9 MERCY HOSPITAL INC
 
Yes
 
(120) MERCY PHYSICIAN NETWORK

C/O ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
46-1187365
SUPPORTING ORGANIZATION PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(121) MERCY SENIOR CARE INC

424 DECATUR STREET

ATLANTA,GA30312
58-1366508
COMMUNITY OUTREACH GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(122) MERCY SERVICES CORPORATION

2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-1453323
SUPPORT SERVICES CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(123) MERCY SERVICES DOWNTOWN INC

424 DECATUR STREET

ATLANTA,GA30312
27-2046353
REAL ESTATE HOLDING COMPANY GA 501(C)(3) LINE 11B, II SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(124) MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION

PO BOX 9184

FARMINGTON HILLS,MI48333
38-2719605
PROVIDES LONG-TERM CARE FOR THE ELDERLY MI 501(C)(3) LINE 11B, II TRINITY CONTINUING CARE SERVICES
 
Yes
 
(125) MERCY SPECIALIST PHYSICIANS INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
26-4033168
NEUROSURGERY MEDICAL SERVICES MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(126) MERCY SUBURBAN HOSPITAL

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-1396763
ACUTE CARE HOSPITAL PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(127) MERCY UIHLEIN HEALTH CORPORATION

185 OLD MILITARY ROAD

LAKE PLACID,NY12946
16-1535133
MGT. & SUPPORT SERVICES NY 501(C)(3) LINE 11B, II MERCY HEALTHCARE CENTER
 
Yes
 
(128) MERCYKNOLL INC

2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-0757380
SKILLED NURSING CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(129) MIDWEST MEDFLIGHT

1300 VICTORS WAY

ANN ARBOR,MI48108
38-2684671
AEROMEDICAL TRANSPORT MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(130) MISSION HEALTH CORPORATION

37595 SEVEN MILE ROAD

LIVONIA,MI48152
38-3181557
FACILITY USED FOR AMBULATORY CARE DE 501(C)(3) LINE 11A, I N/A
 
No
(131) MOUNT CARMEL COLLEGE OF NURSING

6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1308555
COLLEGE OF NURSING OH 501(C)(3) LINE 2 MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(132) MOUNT CARMEL HEALTH INSURANCE COMPANY

6150 EAST BROAD STREET

COLUMBUS,OH43213
25-1912781
HEALTH INSURANCE OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(133) MOUNT CARMEL HEALTH PLAN INC

6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1471229
MEDICARE HMO FOR SENIORS OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(134) MOUNT CARMEL HEALTH SYSTEM

6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1439334
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT OH 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(135) MOUNT CARMEL HEALTH SYSTEM FOUNDATION

6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1113966
SUPPORT THE SERVICES OF RELATED HOSPITAL OH 501(C)(3) LINE 11A, I MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(136) MOUNT CARMEL HOME CARE LLC

1144 DUBLIN ROAD SUITE B

COLUMBUS,OH43215
26-2729300
PROVIDE HOME HEALTH CARE SERVICES OH 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(137) MRI MOBILE SERVICES OF WEST MICHIGAN

1820 - 44TH STREET

KENTWOOD,MI49508
38-3073745
OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY) MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(138) MUSKEGON COMMUNITY HEALTH PROJECT

565 W WESTERN AVENUE

MUSKEGON,MI49440
91-1932918
FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES MI 501(C)(3) LINE 7 MERCY HEALTH PARTNERS
 
Yes
 
(139) NAZARETH HEALTH CARE FOUNDATION

2701 HOLME AVENUE

PHILADELPHIA,PA19152
23-2300951
FUNDRAISING PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(140) NAZARETH HOSPITAL

2601 HOLME AVENUE

PHILADELPHIA,PA19152
23-2794121
ACUTE CARE HOSPITAL PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(141) NAZARETH PHYSICIAN SERVICES INC

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
20-3261266
PHYSICIAN PRACTICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(142) NE PHYSICIAN SERVICES

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2497355
PHYSICIAN PRACTICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(143) NORTHEAST HEALTH INC

2212 BURDETT AVE

TROY,NY12180
04-2450756
SUPPORTING ORGANIZATION NY 501(C)(3) LINE 11B, II ST PETER'S HEALTH PARTNERS
 
Yes
 
(144) OAKLAND MERCY HOSPITAL

601 EAST 2ND STREET

OAKLAND,NE68045
20-8072234
HEALTHCARE SERVICES NE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(145) OAKLAND MERCY HOSPITAL FOUNDATION

601 E 2ND STREET

OAKLAND,NE68045
31-1678345
SUPPORTS SERVICES OF RELATED HOSPITAL NE 501(C)(3) LINE 11C, III-FI N/A
 
No
(146) OSUMOUNT CARMEL HEALTH ALLIANCE

793 WEST STATE STREET

COLUMBUS,OH43222
31-1654603
COOPERATIVE HEALTH CARE DELIVERY SYSTEM OH 501(C)(3) LINE 11A, I N/A
 
No
(147) OUR LADY OF LOURDES HEALTH CARE SERVICES

1600 HADDON AVENUE

CAMDEN,NJ08103
22-2568528
MANAGEMENT & SUPPORT SERVICES NJ 501(C)(3) LINE 11A, I CATHOLIC HEALTH EAST
 
Yes
 
(148) OUR LADY OF LOURDES HEALTH FOUNDATION INC

1600 HADDON AVENUE

CAMDEN,NJ08103
22-2351960
FOUNDATION NJ 501(C)(3) LINE 7 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(149) OUR LADY OF LOURDES MEDICAL CENTER

1600 HADDON AVENUE

CAMDEN,NJ08103
21-0635001
HOSPITAL NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(150) OUR LADY OF MERCY LIFE CENTER

2 MERCYCARE LANE

GUILDERLAND,NY12084
14-1743506
NURSING HOME FACILITY NY 501(C)(3) LINE 3 ST PETER'S HEALTH CARE SERVICES
 
Yes
 
(151) PIONEER VALLEY CARDIOLOGY ASSOCIATES INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
45-4208896
CARDIOLOGY SERVICES MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(152) PITTSBURGH MERCY HEALTH SYSTEM

3333 5TH AVENUE

PITTSBURGH,PA15213
25-1464211
MANAGEMENT & SUPPORT SERVICES PA 501(C)(3) LINE 11C, III-FI CATHOLIC HEALTH EAST
 
Yes
 
(153) PORT HURON MERCY FAMILY CARE INC

2601 ELECTRIC AVE

PORT HURON,MI48060
20-1855647
HEALTHCARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(154) PROFESSIONAL MED TEAM

965 FORK STREET

MUSKEGON,MI49442
38-2638284
MEDICAL CARE, TRANSPORTATION AND EDUCATION MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(155) PROFESSIONAL OFFICE CORPORATION

1303 EAST HERNDON AVE

FRESNO,CA93720
94-2839324
HEALTHCARE SERVICES CA 501(C)(3) LINE 11A, I SAINT AGNES MEDICAL CENTER
 
Yes
 
(156) SAINT AGNES MEDICAL CENTER

1303 EAST HERNDON AVE

FRESNO,CA93720
94-1437713
HEALTHCARE SERVICES CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(157) SAINT ALPHONSUS BUILDING COMPANY INC

1055 NORTH CURTIS RD

BOISE,ID83706
82-0401011
SUPPORTS SERVICES OF RELATED HOSPITAL ID 501(C)(3) LINE 11A, I SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
 
Yes
 
(158) SAINT ALPHONSUS DIVERSIFIED CARE INC

1055 NORTH CURTIS RD

BOISE,ID83706
94-3028978
SUPPORTS SERVICES OF RELATED HOSPITAL ID 501(C)(3) LINE 11A, I SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
 
Yes
 
(159) SAINT ALPHONSUS FOUNDATION-BAKER CITY INC

3325 POCAHONTAS ROAD

BAKER CITY,OR97814
94-3164869
SUPPORT THE SERVICES OF RELATED HOSPITAL OR 501(C)(3) LINE 11A, I SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY
 
Yes
 
(160) SAINT ALPHONSUS FOUNDATION-ONTARIO INC

351 SW 9TH STREET

ONTARIO,OR97914
20-2683560
SUPPORT THE SERVICES OF RELATED HOSPITAL OR 501(C)(3) LINE 11A, I SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
 
Yes
 
(161) SAINT ALPHONSUS HEALTH SYSTEM INC

1055 N CURTIS ROAD

BOISE,ID83706
27-1929502
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT ID 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION
 
Yes
 
(162) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC

3325 POCAHONTAS ROAD

BAKER CITY,OR97814
27-1790052
TO PROVIDE QUALITY HEALTH CARE OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(163) SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC

1512 12TH AVENUE ROAD

NAMPA,ID83686
26-1737256
SUPPORT THE SERVICES OF RELATED HOSPITAL ID 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER-NAMPA
 
Yes
 
(164) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC

1512 12TH AVENUE ROAD

NAMPA,ID83686
82-0200896
TO PROVIDE QUALITY HEALTH CARE ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(165) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC

351 SW 9TH STREET

ONTARIO,OR97914
27-1789847
TO PROVIDE QUALITY HEALTH CARE OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(166) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

1055 NORTH CURTIS RD

BOISE,ID83706
82-0200895
HEALTHCARE SERVICES ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(167) SAINT JAMES CARE INC

111 CENTRAL AVENUE

NEWARK,NJ07102
26-2616230
INACTIVE ENTITY NJ 501(C)(3) LINE 9 SAINT MICHAELS MEDICAL CENTER
 
Yes
 
(168) SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC

1915 LAKE AVENUE PO BOX 670

PLYMOUTH,IN46563
35-1142669
HEALTHCARE SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(169) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC

PO BOX 1935

SOUTH BEND,IN46634
35-0868157
HEALTHCARE SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(170) SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC

5215 HOLY CROSS PARKWAY

MISHAWAKA,IN46545
35-6033285
HOSPITAL SERVICE AUXILIARY IN 501(C)(4) N/A SAINT JOSEPH REGIONAL MEDICAL CENTER-S BEND
 
Yes
 
(171) SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC

1915 LAKE AVENUE

PLYMOUTH,IN46563
35-6043563
HOSPITAL SERVICE AUXILIARY IN 501(C)(3) LINE 11B, II SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH
 
Yes
 
(172) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

801 EAST LASALLE AVE

SOUTH BEND,IN46617
35-1568821
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION
 
Yes
 
(173) SAINT JOSEPH'S HEALTH SYSTEM INC

424 DECATUR STREET

ATLANTA,GA30312
58-1744848
MANAGEMENT & SUPPORT SERVICES GA 501(C)(3) LINE 11B, II CATHOLIC HEALTH EAST
 
Yes
 
(174) SAINT JOSEPH'S MERCY CARE SERVICES INC

424 DECATUR STREET

ATLANTA,GA30312
58-1752700
COMMUNITY OUTREACH GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(175) SAINT JOSEPH'S TOWER INC

PO BOX 9184

FARMINGTON HILLS,MI48333
31-1040468
PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS IN 501(C)(3) LINE 9 TRINITY CONTINUING CARE SERVICES-INDIANA
 
Yes
 
(176) SAINT MARY HOME II INC

2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-1164104
ELDERLY CARE CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(177) SAINT MARY'S AMICARE HOME HEALTHCARE

1430 MONROE NW

GRAND RAPIDS,MI49505
38-3320700
PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(178) SAINT MARY'S FOUNDATION

200 JEFFERSON ST SE

GRAND RAPIDS,MI49503
38-1779602
SUPPORTS SERVICES OF RELATED HOSPITAL MI 501(C)(3) LINE 7 TRINITY HEALTH-MICHIGAN
 
Yes
 
(179) SAINT MICHAELS MEDICAL CENTER

111 CENTRAL AVENUE

NEWARK,NJ07102
26-2616046
HOSPITAL NJ 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(180) SAMARITAN CHILD CARE CENTER INC

2213 BURDETT AVE

TROY,NY12180
14-1710225
CHILD DAY CARE NY 501(C)(3) LINE 9 NORTHEAST HEALTH INC
 
Yes
 
(181) SAMARITAN HOSPITAL OF TROY NEW YORK

2215 BURDETT AVE

TROY,NY12180
14-1338544
GENERAL HOSPITAL NY 501(C)(3) LINE 3 NORTHEAST HEALTH INC
 
Yes
 
(182) SENIOR CARE CONNECTION INC

504 STATE ST

SCHENECTADY,NY12305
14-1708754
PACE PROGRAM NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(183) SETON AUXILIARY INC

1300 MASSACHUSETTS AVENUE

TROY,NY12180
14-1505031
SUPPORTING ORGANIZATION NY 501(C)(3) LINE 9 SETON HEALTH SYSTEM INC
 
Yes
 
(184) SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE

1 ABELE BLVD

CLIFTON PARK,NY12065
14-1756230
SKILLED NURSING NY 501(C)(3) LINE 9 SETON HEALTH SYSTEM INC
 
Yes
 
(185) SETON HEALTH FOUNDATION INC

1300 MASSACHUSETTS AVENUE

TROY,NY12180
22-2345416
SUPPORTING ORGANIZATION NY 501(C)(3) LINE 11A, I SETON HEALTH SYSTEM INC
 
Yes
 
(186) SETON HEALTH SYSTEM INC

1300 MASSACHUSETTS AVENUE

TROY,NY12180
14-1776186
HOSPITAL NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(187) SISTERS OF PROVIDENCE CARE CENTERS INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
22-2541103
LONG TERM CARE MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(188) SISTERS OF PROVIDENCE HEALTH SYSTEM INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
04-3398374
MANAGEMENT & SUPPORT SERVICES MA 501(C)(3) LINE 11B, II CATHOLIC HEALTH EAST
 
Yes
 
(189) SJHSJOC HOLDINGS INC

424 DECATUR STREET

ATLANTA,GA30312
47-2299757
REAL ESTATE HOLDING COMPANY GA 501(C)(3) LINE 11B, II SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(190) SSJ HEALTH FOUNDATION INC

3661 SOUTH MIAMI AVENUE

MIAMI,FL33133
59-1709438
FUNDRAISING FL 501(C)(3) LINE 7 MERCY HOSPITAL INC
 
Yes
 
(191) ST JOSEPH MERCY OAKLAND FOUNDATION

44405 WOODWARD AVE

PONTIAC,MI48341
35-2356789
SUPPORTS SERVICES OF RELATED HOSPITAL MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(192) ST AGNES CONTINUING CARE CENTER

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2840137
CONTINUING CARE SERVICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(193) ST AGNES CONTINUING CARE CENTER FOUNDATION

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2415137
FUNDRAISING PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(194) ST FRANCIS FOUNDATION

PO BOX 2500

WILMINGTON,DE19805
51-0374158
FOUNDATION DE 501(C)(3) LINE 11B, II ST FRANCIS HOSPITAL
 
Yes
 
(195) ST FRANCIS HOSPITAL

PO BOX 2500

WILMINGTON,DE19805
51-0064326
HOSPITAL DE 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(196) ST FRANCIS HOSPITAL INC

33920 US HIGHWAY 19 NORTH SUITE 269

PALM HARBOR,FL34684
59-0624442
GRANT-MAKING ORGANIZATION FL 501(C)(3) LINE 11A, I ALLEGANY FRANCISCAN MINISTRIES INC
 
Yes
 
(197) ST FRANCIS MEDICAL CENTER FOUNDATION INC

601 HAMILTON AVENUE

TRENTON,NJ08629
52-1025476
FOUNDATION NJ 501(C)(3) LINE 11A, I ST FRANCIS MEDICAL CENTER TRENTON NJ
 
Yes
 
(198) ST FRANCIS MEDICAL CENTER TRENTON NJ

601 HAMILTON AVENUE

TRENTON,NJ08629
22-3431049
HOSPITAL NJ 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(199) ST JAMES MERCY FOUNDATION INC

411 CANISTEO STREET

HORNELL,NY14843
16-1486437
FOUNDATION NY 501(C)(3) LINE 7 ST JAMES MERCY HEALTH SYSTEM INC
 
Yes
 
(200) ST JAMES MERCY HEALTH SYSTEM INC

411 CANISTEO STREET

HORNELL,NY14843
22-3127184
MANAGEMENT & SUPPORT SERVICES NY 501(C)(3) LINE 11C, III-FI CATHOLIC HEALTH EAST
 
Yes
 
(201) ST JAMES MERCY HOSPITAL

411 CANISTEO STREET

HORNELL,NY14843
16-0743310
HOSPITAL NY 501(C)(3) LINE 3 ST JAMES MERCY HEALTH SYSTEM INC
 
Yes
 
(202) ST JOSEPH OF THE PINES INC

100 GOSSMAN DRIVE SUITE B

SOUTHERN PINES,NC28387
56-0694200
HOSPITAL NC 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(203) ST MARY BUILDING AND DEVELOPMENT COMPANY

1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
46-1827502
BUILDING DEVELOPMENT COMPANY PA 501(C)(2) N/A ST MARY MEDICAL CENTER
 
Yes
 
(204) ST MARY EMERGENCY MEDICAL SERVICES

1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
46-5354512
EMERGENCY MEDICAL SERVICES PA 501(C)(3) LINE 9 ST MARY MEDICAL CENTER
 
Yes
 
(205) ST MARY HOME INCORPORATED

2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-0646843
SKILLED NURSING CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(206) ST MARY MEDICAL CENTER

1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-1913910
HOSPITAL PA 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(207) ST MARY MEDICAL CENTER FOUNDATION INC

1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2567468
FOUNDATION PA 501(C)(3) LINE 7 ST MARY MEDICAL CENTER
 
Yes
 
(208) ST MARY'S FOUNDATION INC

1230 BAXTER STREET

ATHENS,GA30606
58-2544232
FUNDRAISING GA 501(C)(3) LINE 11A, I ST MARY'S HEALTH CARE SYSTEM INC
 
Yes
 
(209) ST MARY'S HEALTH CARE SYSTEM INC

1230 BAXTER STREET

ATHENS,GA30606
58-0566223
HOSPITAL GA 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(210) ST MARY'S HIGHLAND HILLS INC

1230 BAXTER STREET

ATHENS,GA30606
02-0576648
ASSISTED LIVING & RETIREMENT COMMUNITY GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC
 
Yes
 
(211) ST MARY'S MEDICAL GROUP INC

1230 BAXTER STREET

ATHENS,GA30606
26-1858563
HOSPITAL / PHYSICIAN SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC
 
Yes
 
(212) ST MICHAEL'S FOUNDATION INC

111 CENTRAL AVENUE

NEWARK,NJ07102
22-3311976
FOUNDATION NJ 501(C)(3) LINE 11A, I SAINT MICHAELS MEDICAL CENTER
 
Yes
 
(213) ST PETER'S AUXILIARY

315 SOUTH MANNING BLVD

ALBANY,NY12208
22-2843206
AUXILIARY NY 501(C)(3) LINE 11A, I ST PETER'S HEALTH CARE SERVICES
 
Yes
 
(214) ST PETER'S HEALTH CARE SERVICES

315 SOUTH MANNING BLVD

ALBANY,NY12208
22-2702507
MANAGEMENT & SUPPORT SERVICES NY 501(C)(3) LINE 9 ST PETER'S HEALTH PARTNERS
 
Yes
 
(215) ST PETER'S HEALTH PARTNERS

315 SOUTH MANNING BLVD

ALBANY,NY12208
45-3570715
MANAGEMENT & SUPPORT SERVICES NY 501(C)(3) LINE 11B, II CATHOLIC HEALTH EAST
 
Yes
 
(216) ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC

315 SOUTH MANNING BLVD

ALBANY,NY12208
46-1177336
PHYSICIANS PRACTICE NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(217) ST PETER'S HOSPITAL

315 SOUTH MANNING BLVD

ALBANY,NY12208
14-1348692
HOSPITAL NY 501(C)(3) LINE 3 ST PETER'S HEALTH CARE SERVICES
 
Yes
 
(218) ST PETER'S HOSPITAL FOUNDATION INC

319 SOUTH MANNING BLVD SUITE 114

ALBANY,NY12208
22-2262982
FUNDRAISING & PUBLIC RELATIONS NY 501(C)(3) LINE 7 ST PETER'S HEALTH CARE SERVICES
 
Yes
 
(219) SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION

1270 BELMONT AVE

SCHENECTADY,NY12308
22-2505127
SUPPORTING FOUNDATION NY 501(C)(3) LINE 11A, I SUNNYVIEW HOSPITAL & REHABILITATION CTR
 
Yes
 
(220) SUNNYVIEW HOSPITAL & REHABILITATION CTR

1270 BELMONT AVE

SCHENECTADY,NY12308
14-1338386
REHABILITATION HOSPITAL NY 501(C)(3) LINE 3 NORTHEAST HEALTH INC
 
Yes
 
(221) THE COMMUNITY HOSPICE FOUNDATION INC

295 VALLEY VIEW BLVD

RENSSELAER,NY12144
22-2692940
FUNDRAISING & PUBLIC RELATIONS NY 501(C)(3) LINE 7 THE COMMUNITY HOSPICE INC
 
Yes
 
(222) THE COMMUNITY HOSPICE INC

295 VALLEY VIEW BLVD

RENSSELAER,NY12144
14-1608921
SERVING SERIOUSLY ILL PEOPLE & THEIR FAMILIES NY 501(C)(3) LINE 3 ST PETER'S HEALTH CARE SERVICES
 
Yes
 
(223) THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER

4215 EDISON LAKES PARKWAY

MISHAWAKA,IN46545
35-1654543
SUPPORTS SERVICES OF RELATED HOSPITAL IN 501(C)(3) LINE 11A, I SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(224) THE MARJORIE DOYLE ROCKWELL CENTER INC

421 WEST COLUMBIA ST

COHOES,NY12047
14-1793885
ADULT HOME/ALZHEIMERS NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(225) THE NORTHEAST HEALTH FOUNDATION INC

2224 BURDETT AVE

TROY,NY12180
22-2743478
SUPPORTING FOUNDATION NY 501(C)(3) LINE 7 NORTHEAST HEALTH INC
 
Yes
 
(226) TRI-COUNTY HUMAN SERVICES CENTER INC

3805 WEST CHESTER PIKE NO 100

NEWTOWN SQUARE,PA19073
23-1938528
BEHAVIORAL HEALTH ORGANIZATION PA 501(C)(3) LINE 7 MAXIS HEALTH SYSTEM
 
Yes
 
(227) TRI-HOSPITAL EMERGENCY MEDICAL SERVICES

309 GRAND RIVER

PORT HURON,MI48060
38-2485700
PROVIDE EMERGENCY AMBULANCE SERVICES MI 501(C)(3) LINE 11D, III-O N/A
 
No
(228) TRI-HOSPITAL MRI CENTER

4190 24TH AVENUE

FORT GRATIOT,MI48054
38-2884297
MRI SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(229) TRINITY CONTINUING CARE SERVICES

PO BOX 9184

FARMINGTON HILLS,MI48333
38-2559656
MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIES MI 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION
 
Yes
 
(230) TRINITY CONTINUING CARE SERVICES - INDIANA INC

PO BOX 9184

FARMINGTON HILLS,MI48333
93-0907047
PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSING IN 501(C)(3) LINE 9 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(231) TRINITY HEALTH - MICHIGAN

20555 VICTOR PARKWAY

LIVONIA,MI48152
38-2113393
HEALTHCARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(232) TRINITY HEALTH CORPORATION

20555 VICTOR PARKWAY

LIVONIA,MI48152
35-1443425
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 11B, II CHE TRINITY INC
 
 
No
(233) TRINITY HEALTH INTERNATIONAL

20555 VICTOR PARKWAY

LIVONIA,MI48152
42-1253527
HEALTHCARE TRAINING AND SUPPORT SERVICES MI 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION
 
Yes
 
(234) TRINITY HEALTH WELFARE BENEFIT TRUST

20555 VICTOR PARKWAY

LIVONIA,MI48152
20-8151733
RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGE MI 501(C)(9) N/A TRINITY HEALTH CORPORATION
 
Yes
 
(235) TRINITY HOME HEALTH SERVICES INC

17410 COLLEGE PARKWAY

LIVONIA,MI48152
38-2621935
HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES MI 501(C)(3) LINE 9 TRINITY HEALTH CORPORATION
 
Yes
 
(236) UIHLEIN MERCY CENTER

185 OLD MILITARY ROAD

TUPPER LAKE,NY12986
15-0532190
IN DISSOLUTION NY 501(C)(3) LINE 3 MERCY HEALTHCARE CENTER
 
Yes
 
(237) UNIVERSITY HEIGHTS PROPERTY COMPANY INC

111 CENTRAL AVENUE

NEWARK,NJ07102
22-3100162
MEDICAL PROPERTY HOLDING COMPANY NJ 501(C)(2) N/A SAINT MICHAELS MEDICAL CENTER
 
Yes
 
(238) VILLA MARY IMMACULATE

301 HACKETT BLVD

ALBANY,NY12208
14-1438749
NURSING HOME & PHYSICAL REHAB NY 501(C)(3) LINE 3 ST PETER'S HOSPITAL
 
Yes
 
(239) VNA HOME HEALTH & HOSPICE

50 FODEN ROAD

SOUTH PORTLAND,ME04106
01-0246804
HOME HEALTH & HOSPICE ME 501(C)(3) LINE 11A, I MERCY HEALTH SYSTEM OF MAINE
 
Yes
 
(240) WESTSHORE HEALTH NETWORK

1820 44TH STREET

KENTWOOD,MI49508
38-3280200
SUPPORT SERVICES MI 501(C)(4) N/A MERCY HEALTH PARTNERS
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) ADVENT REHABILITATION LLC

607 DEWEY AVENUE SUITE 300
GRAND RAPIDS,MI49504
38-3306673
REHABILITATION THERAPY SERVICES MI N/A
                 
(2) BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1608125
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(3) CATHERINE HORAN BUILDING LIMITED PARTNERSHIP

1221 MAIN STREET ROOM 108
HOLYOKE,MA01040
04-2723429
PROPERTY MANAGEMENT MA N/A
                 
(4) CENTENNIAL SURGUNIT LLC

502 CENTENNIAL BLVD SUITE 1
VOORHEES,NJ08043
22-3580847
HEALTHCARE SERVICES NJ N/A
                 
(5) CENTER FOR DIGESTIVE CARE LLC

5300 ELLIOTT DRIVE
YPSILANTI,MI48197
03-0447062
PROVIDE GASTROINTESTINAL SERVICES MI N/A
                 
(6) CENTRAL NEW JERSEY HEART SERVICES LLC

PO BOX 148
BAYONNE,NJ07002
20-8525458
CARDIAC PROGRAM NJ N/A
                 
(7) CENTRAL OHIO SLEEP MEDICINE LTD

6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1701029
SLEEP MEDICINE SERVICES OH N/A
                 
(8) CLINTON IMAGING SERVICES LLC

615 VALLEY VIEW DR STE 202
MOLINE,IL61265
41-2044739
MRI DIAGNOSTIC SERVICES IA N/A
                 
(9) EAST NORRITON MEDICAL ASSOCIATES

ONE WEST ELM STREET
CONSHOHOCKEN,PA19428
23-2319531
MEDICAL OFFICE BUILDING PA N/A
                 
(10) FOREST PARK IMAGING LLC

1000 4TH STREET SW
MASON CITY,IA50401
13-4365966
X-RAY AND MAMMOGRAPHY SERVICES IA N/A
                 
(11) FRANCES WARDE MEDICAL LABORATORY

300 WEST TEXTILE ROAD
ANN ARBOR,MI48104
38-2648446
LABORATORY MI N/A
                 
(12) FRESNO IMAGING CENTER

1303 E HERNDON AVE
FRESNO,CA93720
77-0363563
DIAGNOSTIC IMAGING CA N/A
                 
(13) GATEWAY HEALTH PLAN

300 GRANT STREET
PITTSBURGH,PA15219
25-1691945
MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION PA N/A
                 
(14) HAWARDEN REGIONAL HEALTH CLINICS LLC

1122 AVENUE L
HAWARDEN,IA51023
20-1444339
MEDICAL CLINIC IA N/A
                 
(15) IDAHO ASC HOLDINGS LLC

4400 E FLAMINGO AVE
NAMPA,ID83687
36-4729605
HOLDING COMPANY FOR AMBULATORY SURGERY ID N/A
                 
(16) LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP

3000 RIVERCHASE GALLERIA STE 500
BIRMINGHAM,AL35244
36-4119522
SURGICAL SERVICES IL N/A
                 
(17) MAGNETIC RESONANCE SERVICES PARTNERSHIP

1416 SIXTH STREET SW
MASON CITY,IA50401
42-1328388
MRI SERVICES IA N/A
                 
(18) MASON CITY AMBULATORY SURGERY CENTER LLC

990 4TH STREET SW
MASON CITY,IA50401
20-1960348
SURGERY-SAME DAY IA N/A
                 
(19) MCE MOB IV LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
42-1544707
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(20) MCMC POB III LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1392994
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(21) MEDILUCENT MOB I

793 W STATE STREET
COLUMBUS,OH43222
20-4911370
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(22) MERCY ADVANCED MRI LLC

2525 SOUTH MICHIGAN AVE
CHICAGO,IL60616
26-2116721
SUBLEASE MRI EQUIPMENT IL N/A
                 
(23) MERCY HEART CTR OP SERVICES LLC

1000 4TH STREET SW
MASON CITY,IA50401
13-4237594
CARDIOVASCULAR SERVICES IA N/A
                 
(24) MERCYMANOR PARTNERSHIP

PO BOX 10086
TOLEDO,OH43699
52-1931012
NURSING HOME PA N/A
                 
(25) MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1369473
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(26) NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP

C/O NAZARETH HOSP 2601 HOLME AVE
PHILADELPHIA,PA19152
23-2388040
MEDICAL OFFICE BUILDING PA N/A
                 
(27) NEWCO AMBULATORY SURGERY CTR LLP

4190 24TH AVENUE
FORT GRATIOT,MI48059
30-0136708
OUTPATIENT SURGERY CENTER MI N/A
                 
(28) PHYSICIANS OUTPATIENT SURGERY CENTER LLC

1000 NE 56TH STREET
OAKLAND PARK,FL33334
35-2325646
AMBULATORY SURGERY CENTER FL N/A
                 
(29) SARMED OUTPATIENT PHARMACY LLC

999 N CURTIS RD STE 102
BOISE,ID83706
51-0483218
PHARMACY ID N/A
                 
(30) SIXTY FOURTH STREET LLC

2373 64TH ST STE 2200
BYRON CENTER,MI49315
20-2443646
PROVIDE OUTPATIENT SURGICAL CARE MI N/A
                 
(31) SJV MANAGEMENT LLC

200 CENTURY PKWY STE 200E
MOUNT LAUREL,NJ08054
20-2273476
RADIOLOGY NJ N/A
                 
(32) SMMC MOB II LP

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
36-4559869
INVESTMENT AND OPERATION OF A MEDICAL BUILDING PA N/A
                 
(33) ST AGNES LONG-TERM INTENSIVE CARE LLP

C/O MHS ONE WEST ELM ST STE 100
CONSHOHOCKEN,PA19428
20-0984882
LONG TERM INTENSIVE CARE PA N/A
                 
(34) ST ALPHONSUS CALDWELL CANCER CTR LLC

3123 MEDICAL DR
CALDWELL,ID83605
82-0526861
RADIATION ONCOLOGY ID N/A
                 
(35) ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1603660
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(36) ST MARY REHABILITATION HOSPITAL LLP

113 SEABOARD LANE SUITE B201
FRANKLIN,TN37067
27-3938747
MEDICAL SERVICES DE N/A
                 
(37) ST PETER'S AMBULATORY SURGERY CENTER LLC

1375 WASHINGTON AVENUE STE 201
ALBANY,NY12206
46-0463892
OUTPATIENT SURGERY NY N/A
                 
(38) TAMARACK MEDICAL CLINIC LLC

402 OLD STATE HWY
CASCADE,ID83611
20-1637921
OUTPATIENT MEDICAL SERVICES ID N/A
                 
(39) THE AMBULATORY SURGERY CENTER AT ST MARY LLC

1203 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
23-2871206
OUTPATIENT SURGERY PA N/A
                 
(40) WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1784409
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(41) WOODLAND IMAGING CENTER LLC

5301 E HURON RIVER DR
ANN ARBOR,MI48106
76-0820959
RADIOLOGY/IMAGING MI N/A
                 
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) AFFILIATED MANAGEMENT SERVICES CORPORATION INC

1300 MASSACHUSETTS AVENUE
TROY,NY12180
14-1668024
REAL ESTATE NY N/A
C       Yes  
(2) CARBONDALE AREA PHYSICIANS' ASSOCIATION PC

100 LINCOLN AVE
CARBONDALE,PA18407
23-2801677
MEDICAL INSURANCE CONTRACTING PA N/A
C       Yes  
(3) CARBONDALE AREA PHYSICIANS' PHO INC

100 LINCOLN AVE
CARBONDALE,PA18407
23-2801676
INACTIVE PA N/A
C       Yes  
(4) CARBONDALE PHYSICIANS' SERVICES INC

100 LINCOLN AVE
CARBONDALE,PA18407
23-2365077
PHARMACY PA N/A
C       Yes  
(5) CATHERINE HORAN BUILDING INC

C/O SPHS 1221 MAIN STREET SUITE 108
HOLYOKE,MA01040
04-2938160
BUILDING MANAGEMENT MA N/A
C       Yes  
(6) CATHOLIC HEALTH EAST SENIOR SERVICES

3805 WEST CHESTER PIKE SUITE 100
NEWTOWN SQUARE,PA19073
37-1572595
SENIOR SERVICES PA N/A
C       Yes  
(7) CHESTNUT RISK SERVICES LTD

11 VICTORIA STREET
HAMILTON    
BD
INSURANCE BD N/A
C       Yes  
(8) DIVERSIFIED COMMUNITY SERVICES INC

C/O SPHS 1221 MAIN STREET SUITE 108
HOLYOKE,MA01040
04-3128890
MEDICAL SERVICES MA N/A
C       Yes  
(9) GATEWAY HEALTH PLAN INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1505506
HEALTH CARE PA N/A
C       Yes  
(10) GATEWAY HEALTH PLAN INC OF OHIO

600 GRANT STREET
PITTSBURGH,PA15219
30-0282076
HEALTH CARE PA N/A
C       Yes  
(11) GEORGIA HEALTH ENTERPRISES LLC

1230 BAXTER STREET
ATHENS,GA30606
54-1806329
HEALTHCARE GA N/A
C       Yes  
(12) GHE PHYSICIANS PC

3500 PIEDMONT ROAD
ATLANTA,GA30305
58-2277939
PRACTICE MANAGEMENT GA N/A
C       Yes  
(13) GOTTLIEB MANAGEMENT SERVICES INC

701 W NORTH AVE
MELROSE PARK,IL60160
36-3330529
MANAGEMENT SERVICES IL N/A
C       Yes  
(14) HACKLEY HEALTH MANAGEMENT CENTER

1415 LEAHY ST
MUSKEGON,MI49442
38-2961814
WEIGHT MANAGEMENT MI N/A
C       Yes  
(15) HACKLEY HEALTH VENTURES INC

1415 LEAHY ST
MUSKEGON,MI49442
38-2589959
OTHER MEDICAL SERVICES MI N/A
C       Yes  
(16) HACKLEY HEALTHCARE EQUIPMENT

1415 LEAHY ST
MUSKEGON,MI49442
38-2578569
HOME MEDICAL EQUIPMENT MI N/A
C       Yes  
(17) HACKLEY PROFESSIONAL CENTER

1415 LEAHY ST
MUSKEGON,MI49442
38-3024797
REAL ESTATE RENTAL MI N/A
C       Yes  
(18) HACKLEY PROFESSIONAL PHARMACY

1415 LEAHY ST
MUSKEGON,MI49442
38-2447870
PHARMACY MI N/A
C       Yes  
(19) HEALTH MANAGEMENT SERVICES ORG INC

500 GROVE STREET SUITE 100
HADDON HEIGHTS,NJ08035
22-3366580
HEALTH CARE BILLING NJ N/A
C       Yes  
(20) HEF INC

1415 LEAHY ST
MUSKEGON,MI49442
38-3086401
OFFICE STAFFING MI N/A
C       Yes  
(21) HOLY CROSS PRIVATE HOME SERVICES CORP

11801 TECH ROAD
SILVER SPRING,MD20904
52-1986562
HOME CARE SERVICES MD N/A
C       Yes  
(22) HPC CO-OWNERS ASSOCIATION

1700 CLINTON
MUSKEGON,MI49442
27-0734448
CONDOMINIUM ASSOCIATION MI N/A
C       Yes  
(23) HURON ARBOR CORPORATION

5301 EAST HURON RIVER DR PO BOX 992
ANN ARBOR,MI48106
38-2475644
PROVIDES OFFICE RENTAL SPACE MI N/A
C       Yes  
(24) IHA AFFILIATION CORPORATION

24 FRANK LLOYD WRIGHT DR LOBBY J
ANN ARBOR,MI48106
38-3188895
MEDICAL MANAGEMENT MI N/A
C       Yes  
(25) LANGHORNE SERVICES II INC

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
25-3795549
GENERAL PARTNER OF LMOB PARTNERS, II PA N/A
C       Yes  
(26) LANGHORNE SERVICES INC

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
23-2625981
GENERAL PARTNER OF LMOB PARTNERS, PA N/A
C       Yes  
(27) LIFECARE PHYSICIANS PC

601 HAMILTON AVENUE
TRENTON,NJ08629
26-1649038
HEALTH CARE SERVICES NJ N/A
C       Yes  
(28) LOURDES MEDICAL ASSOCIATES PA

500 GROVE STREET SUITE 100
HADDON HEIGHTS,NJ08035
22-3361862
MEDICAL SERVICES NJ N/A
C       Yes  
(29) LOURDES URGENT CARE SERVICES PC

1600 HADDON AVENUE
CAMDEN,NJ08103
46-4188202
URGENT CARE CENTER NJ N/A
C       Yes  
(30) MARYLAND CARE GROUP INC

11801 TECH ROAD
SILVER SPRING,MD20904
52-1815313
HEALTHCARE HOLDING MD N/A
C       Yes  
(31) MCMC EASTWICK INC

C/O MHS ONE WEST ELM STREET STE 100
CONSHOHOCKEN,PA19428
23-2184261
MEDICAL OFFICE BUILDINGS PA N/A
C       Yes  
(32) MEDNOW INC

1512 12TH AVENUE ROAD
NAMPA,ID83686
82-0389927
OUTPATIENT PHARMACY ID N/A
C       Yes  
(33) MERCY INPATIENT MEDICAL ASSOCIATES INC

C/O SPHS 1221 MAIN STREET SUITE 108
HOLYOKE,MA01040
04-3029929
MEDICAL SERVICES MA N/A
C       Yes  
(34) MERCY MEDICAL SERVICES

801 5TH STREET
SIOUX CITY,IA51101
42-1283849
PRIMARY CARE PHYSICIANS IA N/A
C       Yes  
(35) MERCY SERVICES CORPORATION

2525 SOUTH MICHIGAN AVENUE
CHICAGO,IL60616
36-3227348
DORMANT IL N/A
C       Yes  
(36) MICHIGAN ATHLETIC CLUB

2500 BURTON
GRAND RAPIDS,MI49546
38-2647304
ATHLETIC CLUB MI N/A
C       Yes  
(37) MOUNT CARMEL HEALTH PROVIDERS INC

6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1382442
MEDICAL SERVICES OH N/A
C       Yes  
(38) NORTH IOWA MERCY MEDICAL SERVICES INC

1000 4TH ST SW
MASON CITY,IA50401
42-1382308
MEDICAL SERVICES IA N/A
C       Yes  
(39) NURSING NETWORK INC

4725 NORTH FEDERAL HIGHWAY
FORT LAUDERDALE,FL33308
59-1145192
MEDICAL SERVICES FL N/A
C       Yes  
(40) PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST

1221 MAIN STREET ROOM 108
HOLYOKE,MA01040
04-6608649
PROPERTY MANAGEMENT MA N/A
C       Yes  
(41) PRIORITY PLUS OF CALIFORNIA

PO BOX 27230
FRESNO,CA93729
77-0395267
FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS CA SAINT AGNES MEDICAL CENTER
 
C -79,488 42,038 36.000 % Yes  
(42) PROVIDENCE HOME CARE INC

C/O SPHS 1221 MAIN STREET SUITE 108
HOLYOKE,MA01040
04-3317426
HEALTH CARE SERVICES MA N/A
C       Yes  
(43) SAINT ALPHONSUS HEALTH ALLIANCE INC

1055 NORTH CURTIS ROAD
BOISE,ID83706
82-0524649
ACCOUNTABLE CARE ORGANIZATION ID N/A
C       Yes  
(44) SAINT ALPHONSUS PHYSICIANS PA

1055 NORTH CURTIS ROAD
BOISE,ID83706
33-1078261
PHYSICIANS ID N/A
C       Yes  
(45) SAINT MARY'S HEALTH MANAGEMENT COMPANY

1640 EAST PARIS SE
GRAND RAPIDS,MI49546
38-3450733
ATHLETIC CLUB MI N/A
C       Yes  
(46) SAMARITAN MEDICAL OFFICE BUILDING INC

2212 BURDETT AVENUE
TROY,NY12180
14-1607244
REAL ESTATE NY N/A
C       Yes  
(47) SJM PROPERTIES INC

411 CANISTEO STREET
HORNELL,NY14843
16-1294991
PROPERTY HOLDINGS NY N/A
C       Yes  
(48) ST MARY'S HIGHLAND HILLS VILLAGE INC

1230 BAXTER STREET
ATHENS,GA30606
58-2276801
ASSISTED LIVING GA N/A
C       Yes  
(49) STELLA MARIS INSURANCE COMPANY LIMITED

PO BOX 69
GRAND CAYMAN,CAYMAN ISLANDSKY1-1102
CJ
98-0632008
INSURANCE CJ N/A
C       Yes  
(50) SURGERY CENTER FINANCING CORPORATION

6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1531102
FINANCE, INSURANCE AND REAL ESTATE OH N/A
C       Yes  
(51) SYSTEM COORDINATED SERVICES INC

C/O SPHS 1221 MAIN STREET SUITE 108
HOLYOKE,MA01040
04-2938181
LAB SERVICES MA N/A
C       Yes  
(52) THRE SERVICES LLC

20555 VICTOR PARKWAY
LIVONIA,MI48152
45-2603654
REAL ESTATE BROKERAGE SERVICES MI TRINITY HEALTH CORPORATION
 
C -414,948   99.000 % Yes  
(53) TRINITY HEALTH EMPLOYEE BENEFIT TRUST

20555 VICTOR PARKWAY
LIVONIA,MI48152
38-3410377
GRANTOR TRUST MI TRINITY HEALTH CORPORATION
 
T     100.000 % Yes  
(54) VENZKE INSURANCE COMPANY LTD

PO BOX 1051 GRAND CAYMAN
GRAND CAYMAN    
CJ
98-0453602
PROVISION OF INSURANCE COVERAGE CJ N/A
C       Yes  
(55) WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM

1820 44TH STREET SE
KENTWOOD,MI49508
38-2700166
CONDOMINIUM ASSOCIATION MI N/A
C       Yes  
(56) WORKPLACE HEALTH OF GRAND HAVEN

1415 LEAHY ST
MUSKEGON,MI49442
38-3112035
OCCUPATIONAL HEALTH MI N/A
C       Yes  
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) TRINITY HEALTH - MICHIGAN

A 35,543,919 PER BOOKS
(2) TRINITY HEALTH - MICHIGAN

B 247,388 PER BOOKS
(3) TRINITY HEALTH - MICHIGAN

C 23,153,340 PER BOOKS
(4) TRINITY HEALTH - MICHIGAN

L 171,481,730 PER BOOKS
(5) TRINITY HEALTH - MICHIGAN

M 404,573 PER BOOKS
(6) TRINITY HEALTH - MICHIGAN

P 1,649,452 PER BOOKS
(7) TRINITY HEALTH - MICHIGAN

Q 142,878,954 PER BOOKS
(8) TRINITY HEALTH - MICHIGAN

S 4,981,127 PER BOOKS
(9) HOLY CROSS HOSPITAL INC

B 5,289,350 PER BOOKS
(10) HOLY CROSS HOSPITAL INC

Q 549,141 PER BOOKS
(11) HOLY CROSS HOSPITAL INC

S 2,001,388 PER BOOKS
(12) ST MARY'S HEALTHCARE SYSTEM

B 4,143,409 PER BOOKS
(13) ST MARY'S HEALTHCARE SYSTEM

Q 135,864 PER BOOKS
(14) ST MARY'S HEALTHCARE SYSTEM

S 1,025,808 PER BOOKS
(15) MERCY SUBURBAN HOSPITAL

B 22,503,667 PER BOOKS
(16) MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA

B 18,155,223 PER BOOKS
(17) MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA

Q 119,964 PER BOOKS
(18) MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA

S 2,912,151 PER BOOKS
(19) ST MARY MEDICAL CENTER

C 60,833 PER BOOKS
(20) ST MARY MEDICAL CENTER

Q 79,987 PER BOOKS
(21) ST MARY MEDICAL CENTER

S 2,455,321 PER BOOKS
(22) OUR LADY OF LOURDES MEDICAL CENTER INC

Q 120,922 PER BOOKS
(23) OUR LADY OF LOURDES MEDICAL CENTER INC

C 4,067,582 PER BOOKS
(24) LOURDES MEDICAL CENTER OF BURLINGTON COUNTY

C 1,033,179 PER BOOKS
(25) LOURDES MEDICAL CENTER OF BURLINGTON COUNTY

S 2,719,411 PER BOOKS
(26) PITTSBURGH MERCY HEALTH SYSTEM

B 4,223,396 PER BOOKS
(27) ST FRANCIS HOSPITAL

B 584,717 PER BOOKS
(28) ST FRANCIS HOSPITAL

S 1,159,194 PER BOOKS
(29) ST FRANCIS MEDICAL CENTER TRENTON NJ

C 224,814 PER BOOKS
(30) ST FRANCIS MEDICAL CENTER TRENTON NJ

S 567,707 PER BOOKS
(31) MARIAN COMMUNITY HOSPITAL

S 121,599 PER BOOKS
(32) SISTERS OF PROVIDENCE HEALTH SYSTEM

Q 275,352 PER BOOKS
(33) MERCY HOSPITAL

B 2,236,917 PER BOOKS
(34) MERCY HOSPITAL

S 980,890 PER BOOKS
(35) ST JAMES MERCY HEALTH SYSTEM

S 95,315 PER BOOKS
(36) ST PETER'S HOSPITAL

C 10,517,879 PER BOOKS
(37) ST PETER'S HOSPITAL

R 1,132,191 PER BOOKS
(38) ST PETER'S HEALTH PARTNERS

Q 706,119 PER BOOKS
(39) MERCY COMMUNITY HEALTH INC

C 701,668 PER BOOKS
(40) MERCY COMMUNITY HEALTH INC

S 443,328 PER BOOKS
(41) ST JOSEPH OF THE PINES

S 979,310 PER BOOKS
(42) MERCY MEDICAL CORPORATION

S 237,317 PER BOOKS
(43) CATHOLIC HEALTH EAST

C 43,529,709 PER BOOKS
(44) CATHOLIC HEALTH EAST

Q 41,664,735 PER BOOKS
(45) CATHOLIC HEALTH EAST

S 1,369,994 PER BOOKS
(46) CATHOLIC HEALTH EAST

B 19,035,971 PER BOOKS
(47) SAINT AGNES MEDICAL CENTER

A 3,831,904 PER BOOKS
(48) SAINT AGNES MEDICAL CENTER

C 4,689,141 PER BOOKS
(49) SAINT AGNES MEDICAL CENTER

L 34,624,710 PER BOOKS
(50) SAINT AGNES MEDICAL CENTER

P 1,888,014 PER BOOKS
(51) SAINT AGNES MEDICAL CENTER

Q 24,234,659 PER BOOKS
(52) SAINT AGNES MEDICAL CENTER

S 536,483 PER BOOKS
(53) PROFESSIONAL OFFICE CORPORATION

A 114,328 PER BOOKS
(54) LOYOLA UNIVERSITY MEDICAL CENTER

A 13,787,582 PER BOOKS
(55) LOYOLA UNIVERSITY MEDICAL CENTER

B 121,267 PER BOOKS
(56) LOYOLA UNIVERSITY MEDICAL CENTER

C 3,447,910 PER BOOKS
(57) LOYOLA UNIVERSITY MEDICAL CENTER

L 13,998,467 PER BOOKS
(58) LOYOLA UNIVERSITY MEDICAL CENTER

M 2,099,103 PER BOOKS
(59) LOYOLA UNIVERSITY MEDICAL CENTER

P 703,371 PER BOOKS
(60) LOYOLA UNIVERSITY MEDICAL CENTER

Q 73,553,938 PER BOOKS
(61) LOYOLA UNIVERSITY MEDICAL CENTER

S 1,952,745 PER BOOKS
(62) GOTTLIEB MEMORIAL HOSPITAL

L 1,192,823 PER BOOKS
(63) GOTTLIEB MEMORIAL HOSPITAL

M 329,977 PER BOOKS
(64) GOTTLIEB MEMORIAL HOSPITAL

P 69,876 PER BOOKS
(65) GOTTLIEB MEMORIAL HOSPITAL

Q 8,987,854 PER BOOKS
(66) MERCY MEDICAL CENTER - CLINTON INC

A 698,683 PER BOOKS
(67) MERCY MEDICAL CENTER - CLINTON INC

C 1,338,830 PER BOOKS
(68) MERCY MEDICAL CENTER - CLINTON INC

L 7,903,466 PER BOOKS
(69) MERCY MEDICAL CENTER - CLINTON INC

P 61,609 PER BOOKS
(70) MERCY MEDICAL CENTER - CLINTON INC

Q 6,545,011 PER BOOKS
(71) MERCY MEDICAL CENTER - CLINTON INC

S 97,814 PER BOOKS
(72) MERCY HOSPITAL AND MEDICAL CENTER

B 8,884,773 PER BOOKS
(73) MERCY HOSPITAL AND MEDICAL CENTER

L 3,148,526 PER BOOKS
(74) MERCY HOSPITAL AND MEDICAL CENTER

Q 11,476,703 PER BOOKS
(75) TRINITY HEALTH INTERNATIONAL

B 679,311 PER BOOKS
(76) THRE SERVICES LLC

B 644,636 PER BOOKS
(77) MERCY HEALTH SERVICES-IOWA CORP

A 7,530,345 PER BOOKS
(78) MERCY HEALTH SERVICES-IOWA CORP

B 114,659 PER BOOKS
(79) MERCY HEALTH SERVICES-IOWA CORP

C 4,057,145 PER BOOKS
(80) MERCY HEALTH SERVICES-IOWA CORP

L 64,179,911 PER BOOKS
(81) MERCY HEALTH SERVICES-IOWA CORP

P 3,271,230 PER BOOKS
(82) MERCY HEALTH SERVICES-IOWA CORP

Q 42,743,271 PER BOOKS
(83) MERCY HEALTH SERVICES-IOWA CORP

S 1,054,268 PER BOOKS
(84) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP

P 1,369,438 PER BOOKS
(85) TRINITY HOME HEALTH SERVICES INC

A 21,957 PER BOOKS
(86) TRINITY HOME HEALTH SERVICES INC

C 427,400 PER BOOKS
(87) TRINITY HOME HEALTH SERVICES INC

L 3,949,108 PER BOOKS
(88) TRINITY HOME HEALTH SERVICES INC

P 184,589 PER BOOKS
(89) TRINITY HOME HEALTH SERVICES INC

Q 6,337,500 PER BOOKS
(90) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

A 7,507,852 PER BOOKS
(91) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

C 7,026,110 PER BOOKS
(92) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

L 12,032,166 PER BOOKS
(93) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

P 1,829,291 PER BOOKS
(94) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

Q 21,645,625 PER BOOKS
(95) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

S 1,051,123 PER BOOKS
(96) SAINT ALPHONSUS DIVERSIFIED CARE INC

L 112,938 PER BOOKS
(97) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC

A 459,671 PER BOOKS
(98) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC

L 2,267,026 PER BOOKS
(99) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC

P 116,910 PER BOOKS
(100) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC

Q 4,914,822 PER BOOKS
(101) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC

S 64,354 PER BOOKS
(102) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC

A 836,169 PER BOOKS
(103) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC

L 1,606,226 PER BOOKS
(104) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC

P 577,628 PER BOOKS
(105) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC

Q 2,713,103 PER BOOKS
(106) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC

S 117,071 PER BOOKS
(107) SAINT ALPHONSUS HEALTH SYSTEM INC

L 34,038,500 PER BOOKS
(108) SAINT ALPHONSUS HEALTH SYSTEM INC

Q 7,306,547 PER BOOKS
(109) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

C 3,478,921 PER BOOKS
(110) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

L 23,696,051 PER BOOKS
(111) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

P 1,357,826 PER BOOKS
(112) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

Q 18,009,300 PER BOOKS
(113) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC

A 11,960,127 PER BOOKS
(114) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC

S 1,674,467 PER BOOKS
(115) SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC

A 243,716 PER BOOKS
(116) SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC

L 64,062 PER BOOKS
(117) VENZKE INSURANCE COMPANY LTD

C 306,715 PER BOOKS
(118) VENZKE INSURANCE COMPANY LTD

L 462,357 PER BOOKS
(119) VENZKE INSURANCE COMPANY LTD

P 62,372,187 PER BOOKS
(120) FRANCES WARDE MEDICAL LABORATORY

C 135,773 PER BOOKS
(121) HOLY CROSS HEALTH INC

A 10,661,571 PER BOOKS
(122) HOLY CROSS HEALTH INC

B 63,245 PER BOOKS
(123) HOLY CROSS HEALTH INC

C 5,129,598 PER BOOKS
(124) HOLY CROSS HEALTH INC

L 30,766,609 PER BOOKS
(125) HOLY CROSS HEALTH INC

P 1,658,453 PER BOOKS
(126) HOLY CROSS HEALTH INC

Q 27,502,683 PER BOOKS
(127) HOLY CROSS HEALTH INC

S 1,550,382 PER BOOKS
(128) MERCY HEALTH PARTNERS

A 4,966,663 PER BOOKS
(129) MERCY HEALTH PARTNERS

B 50,342 PER BOOKS
(130) MERCY HEALTH PARTNERS

C 3,913,035 PER BOOKS
(131) MERCY HEALTH PARTNERS

L 43,387,519 PER BOOKS
(132) MERCY HEALTH PARTNERS

M 874,595 PER BOOKS
(133) MERCY HEALTH PARTNERS

P 327,175 PER BOOKS
(134) MERCY HEALTH PARTNERS

Q 27,133,396 PER BOOKS
(135) MERCY HEALTH PARTNERS

S 695,359 PER BOOKS
(136) MUSKEGON COMMUNITY HEALTH PROJECT

B 81,679 PER BOOKS
(137) MOUNT CARMEL HEALTH SYSTEM FOUNDATION

B 56,228 PER BOOKS
(138) MOUNT CARMEL HEALTH SYSTEM FOUNDATION

L 107,754 PER BOOKS
(139) MOUNT CARMEL HEALTH SYSTEM

A 17,968,308 PER BOOKS
(140) MOUNT CARMEL HEALTH SYSTEM

C 13,662,745 PER BOOKS
(141) MOUNT CARMEL HEALTH SYSTEM

L 82,439,756 PER BOOKS
(142) MOUNT CARMEL HEALTH SYSTEM

P 2,297,250 PER BOOKS
(143) MOUNT CARMEL HEALTH SYSTEM

Q 59,877,141 PER BOOKS
(144) MOUNT CARMEL HEALTH SYSTEM

S 2,523,366 PER BOOKS
(145) TRINITY CONTINUING CARE SERVICES

A 3,811,498 PER BOOKS
(146) TRINITY CONTINUING CARE SERVICES

C 1,440,959 PER BOOKS
(147) TRINITY CONTINUING CARE SERVICES

L 2,558,774 PER BOOKS
(148) TRINITY CONTINUING CARE SERVICES

P 146,008 PER BOOKS
(149) TRINITY CONTINUING CARE SERVICES

Q 8,562,054 PER BOOKS
(150) TRINITY CONTINUING CARE SERVICES

S 533,617 PER BOOKS
(151) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC

A 349,338 PER BOOKS
(152) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC

L 732,718 PER BOOKS
(153) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC

Q 1,686,098 PER BOOKS
(154) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC

S 50,453 PER BOOKS
(155) TRINITY HEALTH - MICHIGAN

D 12,000,000 PER BOOKS
(156) HOLY CROSS HEALTH INC

D 163,200,000 PER BOOKS
(157) LOYOLA UNIVERSITY MEDICAL CENTER

D 80,000,000 PER BOOKS
(158) ST FRANCIS HOSPITAL

D 78,600,000 PER BOOKS
(159) CATHOLIC HEALTH EAST

D 50,000,000 PER BOOKS
(160) ST FRANCIS MEDICAL CENTER TRENTON NJ

D 45,500,000 PER BOOKS
(161) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC

D 5,000,000 PER BOOKS
(162) MOUNT CARMEL HEALTH SYSTEM

D 13,800,000 PER BOOKS
(163) MERCY COMMUNITY HEALTH INC

D 4,000,000 PER BOOKS
(164) ST JAMES MERCY HEALTH SYSTEM

D 4,904,121 PER BOOKS
(165) SAINT PETER'S HEALTH PARTNERS

D 80,843,116 PER BOOKS
(166) LOURDES MEDICAL CENTER OF BURLINGTON COUNTY

D 25,216,000 PER BOOKS
(167) OUR LADY OF LOURDES MEDICAL CENTER INC

D 53,584,000 PER BOOKS
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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